IMARA CISNEROS (NPI# 1215341565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215341565 |
| Entity Type | Individual |
| Full Name | IMARA CISNEROS |
| Credential | LMHCI |
| Practice Address |
2657 Woods Edge Cir Orlando FL 32817-4737 |
| Practice Telephone | 4076808811 |
| Mailing Telephone | 4076808811 |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2020-06-25 |
| NPI Deactivation Date | 05/26/2019 |
| NPI Reactivation Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IMH 12320 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH 12320 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2657 WOODS EDGE CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753789 | Marite Martinez | Counselor | 2119 Lake Christie Dr, Orlando, FL 32809-7960 | 2020-09-02 |
| 1033758735 | Sylvia V. Ramos Perez | Counselor | 5000 Catspaw Ct, Orlando, FL 32808-5961 | 2019-12-27 |
| 1689212904 | Chad Brown | Counselor | 942 Coquina Rock St, Orlando, FL 32828-7099 | 2019-12-17 |
| 1396381455 | Latasha Quenshay Ursin | Counselor | 1277 N Semoran Blvd Ste 117, Orlando, FL 32807-3574 | 2019-11-25 |
| 1891346094 | Katrina Lynn Alfonso | Counselor | 4440 Medallion Dr Apt 817, Orlando, FL 32808-1165 | 2019-09-27 |
| 1962065748 | Alexandra Nicole Morales | Counselor | 7401 Kalani St, Orlando, FL 32822-5602 | 2019-04-17 |
| 1205397825 | Shannon Folsom | Counselor | 3741 Lasson Ct, Orlando, FL 32835-2669 | 2019-03-27 |
| 1043778244 | Tanya S Doyle | Counselor | 12890 S John Young Pkwy, Orlando, FL 32837-3400 | 2019-03-06 |
| 1437616521 | Brooke Parker | Counselor | 100 W. Columbia St., Orlando, FL 32806-1006 | 2019-02-25 |
| 1184107534 | Healing & Beyond Health Services | Counselor | 111 N Orange Ave Ste 829, Orlando, FL 32801-2316 | 2018-09-12 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on IMARA CISNEROS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.