Cassandra Larussa Cisneros, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-24006 Issued in AZ

Practice address

2577 E Donato Dr
Gilbert, AZ 85298-8490

Phone

(480) 242-4193

NPI assigned

Jan 24, 2022

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1407508062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27818 N 24TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850854706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 E DONATO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988490",
            "telephone_number": "480-242-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "CASSANDRA",
        "middle_name": "LARUSSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-09-29",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-24006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60110447",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.ascendtelehealth.com/",
            "affiliation": "Y",
            "affiliationName": "Ascend Healthcare, PLLC",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27818 N 24th Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850854706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.konaaz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2577 E Donato Dr",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852988490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ascendtelehealth.com",
            "affiliation": "Y",
            "affiliationName": "Ascend Healthcare, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "27818 N 24th Ln",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850854706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cigna Healthcare of Arizona, Inc. (EVERNORTH Care Group Gilbert Health Center)
• Circle of Support
• Circles of Recovery LLC
• William Carmen Cirocco, MD
• Kathryn Cisek, RBT
• Daniel Cisneros
• Veronica Cisneros
• Citizens Integrated Medical Services LLC (Cimsaz)
• Citizens Med Trans LLC (Citizens Med Trans)
• City of Hope Medical Group of Arizona LLC (Outpatient Care Center, Gilbert)

• Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.