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CISCO COUNSELING LLC
NPI 1104616531
Counselor - Mental Health in Centralia, IL

Active since May 08, 2025
1504 S POPLAR ST, CENTRALIA, IL 62801(618) 267-0305 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cisco Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CISCO COUNSELING LLC (NPI 1104616531) is a healthcare organization registered as a mental health in Centralia, Illinois and active in the NPI registry since May 2025. The organization lists Washington Dixon Cisco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104616531
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCISCO COUNSELING LLC
Location Address1504 S POPLAR STCentralia, IL 62801-5172
Mailing Address1504 S Poplar StCentralia, IL 62801-5172 · (618) 267-0305
Phone(618) 267-0305
Organization SubpartNo
Authorized OfficialWashington Dixon CiscoCeo · (618) 267-0305
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1104616531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1504 S POPLAR ST, Centralia, IL 62801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cisco Counseling LLC's NPI number?

The NPI number for Cisco Counseling LLC is 1104616531. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Cisco Counseling LLC located?

Cisco Counseling LLC is located at 1504 S Poplar St, Centralia, IL 62801. The listed phone number is (618) 267-0305.

What is Cisco Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cisco Counseling LLC was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.