MS. CATHLYN CAROLE CANNON L.P.C. MHSP NPI 1952420895

NPI Information

NPI: 1952420895
Provider Name: MS. CATHLYN CAROLE CANNON, L.P.C. MHSP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
114 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (865) 241-1408
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MS. Cathlyn Carole Cannon, L.P.C. MHSP is a professional counselor in Johnson City, TN. MS. Cathlyn Carole Cannon, L.P.C. MHSP NPI is 1952420895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

114 E UNAKA AVE
JOHNSON CITY, TN
ZIP 37601-624
Phone: (865) 241-1408

The NPI 1952420895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC 00511	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health	LPC 5511	SOUTH CAROLINA	No
3	101YP2500X	Counselor	Professional	001551	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59932800	OTHER	TENNESSEE	MAGELLAN BEHAVIORAL HEALTH
2	1508371	MEDICAID	TENNESSEE
3	2500701	OTHER	TENNESSEE	BLUECARE/TENNCARE
4	4078991	OTHER	TENNESSEE	BCBS COMMERCIAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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