MS. KARINA CISNEROS MA, LPC
NPI 1194244236
Counselor - Professional in Berwyn, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since September 10, 2017PECOS Enrolled

6447 CERMAK RD, BERWYN, IL 60402(177) 325-4140 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Sep 11, 2018 (2 updates tracked since 2018).

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About Ms. Karina Cisneros Ma, Lpc NPPES

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

MS. KARINA CISNEROS MA, LPC (NPI 1194244236) is an individual professional provider in Berwyn, Illinois, licensed in Illinois (180014069) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194244236

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. KARINA CISNEROSCredential: MA, LPC

Location Address6447 CERMAK RDBerwyn, IL 60402

Mailing Address966 W 21st StChicago, IL 60608-4511 · (773) 254-1400

Phone(177) 325-4140

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 10, 2017

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1194244236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180014069

6447 CERMAK RD, Berwyn, IL 60402

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Secondary Practice Location 1

Location 1688 N Milwaukee Ave Ste 302Chicago, IL 60642 · Phone (224) 634-5843

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karina Cisneros Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274014311

PECOS Enrollment IDI20260226000466

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.