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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSANDRA LARUSSA CISNEROS LPC
NPI 1407508062
Counselor in Gilbert, AZ

Active since January 24, 2022PECOS Enrolled
2577 E DONATO DR, GILBERT, AZ 85298(480) 242-4193 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jan 24, 2022 (2 updates tracked since 2022).

About Cassandra Larussa Cisneros Lpc NPPES

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

CASSANDRA LARUSSA CISNEROS LPC (NPI 1407508062) is an individual counselor in Gilbert, Arizona, licensed in Arizona (LPC-24006) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407508062
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCASSANDRA LARUSSA CISNEROSCredential: LPC
Location Address2577 E DONATO DRGilbert, AZ 85298-8490
Mailing Address27818 N 24th LnPhoenix, AZ 85085-4706
Phone(480) 242-4193
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2022
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1407508062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LPC-24006
Definition
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.
2577 E DONATO DR, Gilbert, AZ 85298
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Other Identifiers 1

Medicaid60110447AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Larussa Cisneros Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082171632
PECOS Enrollment IDI20260804003054
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.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Cisneros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kona Counseling PC
4.0 mi
Professional
2200 E WILLIAMS FIELD RD STE 200
Gilbert, AZ 85295
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1518577535 (480) 581-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cassandra Cisneros's NPI number?

The NPI number for Cassandra Cisneros is 1407508062. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Cassandra Cisneros located?

Cassandra Cisneros practices at 2577 E Donato Dr, Gilbert, AZ 85298. The listed phone number is (480) 242-4193.

What is Cassandra Cisneros's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Cassandra Cisneros enrolled in Medicare?

Yes. Cassandra Cisneros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Cisneros reassigns Medicare benefits to Kona Counseling PC (Gilbert, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassandra Cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Cisneros accept?

Health plans from Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Cassandra Cisneros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Cisneros was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.