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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.

CAMILLE CISNEROZ PH D
NPI 1922372770
Counselor - Professional in La Mesa, NM

Active since February 25, 2012PECOS Enrolled
15885 S HIGHWAY 28, LA MESA, NM 88044(575) 202-1394 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Oct 5, 2018, Sep 19, 2018 (3 updates tracked since 2018).

About Camille Cisneroz Ph D NPPES

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

CAMILLE CISNEROZ PH D (NPI 1922372770) is an individual professional provider in La Mesa, New Mexico, licensed in New Mexico (0187171) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1922372770
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAMILLE CISNEROZCredential: PH D
Location Address15885 S HIGHWAY 28La Mesa, NM 88044-9406
Mailing Address15885 S Highway 28La Mesa, NM 88044-9406 · (575) 202-1394
Phone(575) 202-1394
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 25, 2012
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1922372770 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 NM · 0187171
15885 S HIGHWAY 28, La Mesa, NM 88044
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Other Names 1

Professional Name (2)Camille Cisneroz Phd, Lpcc

Other Identifiers 1

Medicaid54035376NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Cisneroz Ph D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395281695
PECOS Enrollment IDI20240723002539
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.

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 Camille Cisneroz's NPI number?

The NPI number for Camille Cisneroz is 1922372770. It was assigned to this individual provider in the NPPES registry on February 25, 2012. The provider is also known as Camille Cisneroz Phd, Lpcc.

Where is Camille Cisneroz located?

Camille Cisneroz practices at 15885 S Highway 28, La Mesa, NM 88044. The listed phone number is (575) 202-1394.

What is Camille Cisneroz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Camille Cisneroz enrolled in Medicare?

Yes. Camille Cisneroz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camille Cisneroz was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.