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Deactivated NPI 1831355890 Deactivated / Inactive NPI Male Practitioner

Jose Cisneros

Counselor • Mount Vernon, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jose Cisneros has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2008
NPI Deactivation Date May 29, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Jose Cisneros was a registered Counselor practicing in Mount Vernon, WA. Throughout an active medical career spanning 17 years, Jose Cisneros provided care at the practice location at 2500 E COLLEGE WAY until profile deactivation on 2025-05-29.

Practice Location & Contact Primary Location

Practice Address

2500 E College Way
Suite 102a

Mount Vernon, WA 982735862

Telephone 3604288912
Fax 3604246288
Associated Practice Facility / Clinic
🏢 Sunrise Services, Inc. Facility NPI 1841650009

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mount Vernon, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Mount Vernon, WA (11556 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA RC00044436

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1194965707
Anne Kinney

Counselor

NPI 1336433978
Antonio Sosa , ATA

Counselor - Addiction (Substance Use Disorder)

NPI 1386790020
Keely Kaligis

Social Worker

NPI 1487921433
NPI 1609153121
NPI 1619200755

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

NPI Profile Active July 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2008

Registered at 2500 E COLLEGE WAY, SUITE 102A, MOUNT VERNON, WA 982735862 (Tel: 3604288912)

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Updated Business Mailing Address July 30, 2008

Registered at PO BOX 34703, SEATTLE, WA 981241703 (Tel: 2067643335)

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Provider Name / Credentials Updated July 30, 2008

Recorded as JOSE CISNEROS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2008

Counselor (License #RC00044436 in WA)

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Initial NPI Registration & Enumeration July 30, 2008

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: 1831355890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2008
Last Update: July 30, 2008
Deactivation Date: May 29, 2025

Mailing Address

Po Box 34703

Seattle, WA 981241703

Phone: 2067643335

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.