Active NPI 1407508062 Individual Practitioner Female Practitioner

Cassandra Larussa Cisneros , LPC

Counselor • Gilbert, AZ

Professional Overview & Biography Verified Profile Summary

Cassandra Cisneros, LPC is a registered healthcare professional specializing in Counselor in Gilbert, AZ. Practice services are available at 2577 E DONATO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2577 E Donato Dr

Gilbert, AZ 852988490

Telephone 4802424193

Associated Practice Facility / Clinic

🏢 United Youth And Family Service Facility NPI 1316140007

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gilbert, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

75 Specialists

Practicing in Gilbert, AZ (1205 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-18

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License AZ LPC-24006

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

60110447 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 18, 2025

Registered at 2577 E DONATO DR, GILBERT, AZ 852988490 (Tel: 4802424193)

👤

Provider Name / Credentials Updated July 18, 2025

Recorded as CASSANDRA CISNEROS, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2025

Counselor (License #LPC-24006 in AZ)

✅

NPI Profile Active January 24, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2022

Registered at 2517 S PONDEROSA DR, GILBERT, AZ 852951596 (Tel: 4802424193)

📍

Updated Business Mailing Address January 24, 2022

Registered at 27818 N 24TH LN, PHOENIX, AZ 850854706

👤

Provider Name / Credentials Updated January 24, 2022

Recorded as CASSANDRA LARUSSA, LAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Counselor (License #LAC-20383 in AZ)

🟢

Initial NPI Registration & Enumeration January 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407508062

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 24, 2022

Last Update: July 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

27818 N 24th Ln

Phoenix, AZ 850854706

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.