AMANDA ELISE CISNEROS LMFT
NPI 1558866913
Marriage & Family Therapist in San Diego, CA

Q: What is Amanda Cisneros's NPI number?

The NPI number for Amanda Cisneros is 1558866913. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Q: What is Amanda Cisneros's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Cisneros was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since March 28, 2018PECOS Enrolled

5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120(888) 588-8995(510) 756-0812 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Jun 8, 2020, Nov 5, 2019 and 1 more (4 updates tracked since 2018).

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About Amanda Elise Cisneros Lmft NPPES

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

AMANDA ELISE CISNEROS LMFT (NPI 1558866913) is an individual marriage & family therapist in San Diego, California, licensed in California (132697) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1558866913

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA ELISE CISNEROSCredential: LMFT

Location Address5555 RESERVOIR DR STE 309San Diego, CA 92120-5193

Mailing Address5555 Reservoir Dr Ste 309San Diego, CA 92120-5193 · (888) 588-8995 · Fax (510) 756-0812

Phone(888) 588-8995

Fax(510) 756-0812

Sole ProprietorNo

Enumeration DateMarch 28, 2018

Last NPPES UpdateApril 21, 20254 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1558866913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 132697

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5555 RESERVOIR DR STE 309, San Diego, CA 92120

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Secondary Practice Location 1

Location 11000 G St Ste 125Sacramento, CA 95814-0894 · Phone (888) 588-8995 · Fax (510) 756-0812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Elise Cisneros Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTHA ALICIA BAUTISTA LMFT

Marriage & Family Therapist