KEVIN CANNELLA LPCC NPI 1578031852

NPI Information

  • NPI: 1578031852
  • Provider Name: KEVIN CANNELLA, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3050 BROADWAY ST
    BOULDER, CO
    ZIP 80304
  • Phone: (410) 913-5989

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NPI Details

Kevin Cannella, LPCC is a mental health counselor in Boulder, CO. Kevin Cannella, LPCC NPI is 1578031852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3050 BROADWAY ST
BOULDER, CO
ZIP 80304-154
Phone: (410) 913-5989

The enumeration date for this NPI number is 11/5/2018 and was last updated on 11/5/2018.

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
1101YM0800XCounselorMental HealthLPCC.0016287COLORADOYes

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: 11/21/2025

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