Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Cassandra Larussa Cisneros , LPC

Counselor β€’ Gilbert, AZ

Active NPI 1407508062 Individual Practitioner Female Practitioner
Practice location in NPPES

2577 E Donato Dr
Gilbert, AZ 852988490

Call 4802424193 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2577 E Donato Dr

Gilbert, AZ 852988490

Telephone 4802424193
Organization at the Same NPPES Address or Phone
Ascend Behavioral Health And Wellness,llc Facility NPI 1023948809

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Cassandra Cisneros as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gilbert and Arizona

75 active clinicians are listed under Counselor with a practice address in Gilbert, AZ (1,161 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gilbert

0% of these 75 clinicians have the CMS telehealth indicator.

1.3% of these 75 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES AZ LPC-24006

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
60110447 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 18, 2025

Registered at 2577 E DONATO DR, GILBERT, AZ 852988490 (Tel: 4802424193)

πŸ‘€
Provider Name / Credentials Updated July 18, 2025

Recorded as CASSANDRA CISNEROS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2025

Counselor (license number reported to NPPES: AZ LPC-24006)

βœ…
NPI Profile Active January 24, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 24, 2022

Registered at 2517 S PONDEROSA DR, GILBERT, AZ 852951596 (Tel: 4802424193)

πŸ“
Business Mailing Address (Initial Record) January 24, 2022

Registered at 27818 N 24TH LN, PHOENIX, AZ 850854706

πŸ‘€
Provider Name / Credentials (Initial Record) January 24, 2022

Recorded as CASSANDRA LARUSSA, LAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2022

Counselor (license number reported to NPPES: AZ LAC-20383)

🟒
Initial NPI Registration & Enumeration January 24, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407508062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2022
Last Update: July 18, 2025
Sole Proprietor: No

Mailing Address

27818 N 24th Ln

Phoenix, AZ 850854706

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.