STACEY MICHELLE CISNEROS (NPI# 1316310790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316310790 |
| Entity Type | Individual |
| Full Name | STACEY MICHELLE CISNEROS |
| Practice Address |
8401 Jackson Rd Sacramento CA 95826-3904 |
| Practice Telephone | 9164531482 |
| Practice Fax Number | 9164531425 |
| Mailing Telephone | 9164531482 |
| Mailing Fax Number | 9164531425 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
8401 JACKSON RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467823674 | Saint John's Program for Real Change | Community/Behavioral Health | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2015-10-14 |
| 1023661782 | Linda Sheryl Riley | Marriage & Family Therapist | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2019-07-22 |
| 1023593951 | Anastasiya Hernandez | Social Worker | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2018-09-26 |
| 1215411459 | Rhonda Puleo | Marriage & Family Therapist | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2018-09-24 |
| 1083087431 | Christina Cecil | Counselor | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2015-11-06 |
| 1053784611 | Nicole Brock | Counselor | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2015-11-04 |
| 1477925014 | Anastasha Deleon Lee | Counselor | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2015-10-22 |
| 1831560937 | Quinta Davenport | Marriage & Family Therapist | 8401 Jackson Rd, Sacramento, CA 95826-3904 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
Please comment or provide details below to improve the information on STACEY MICHELLE CISNEROS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.