Angela Cannon, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5811 Bellingrath Way
Lithonia, GA 30058-3209

Phone

(404) 788-9237

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Generational Resources LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lithonia, GA
  • NPI 1063034643
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104288273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 BELLINGRATH WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583209",
            "telephone_number": "404-788-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 BELLINGRATH WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583209",
            "telephone_number": "404-788-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ANGELA",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "010635",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedre Campbell
• Marcia B Campbell, CNA
• Sheila J Campbell
• Valerie Denise Campbell
• Marsha Darnell Canning, LD
• Michael L Cannon
• Patrice Cannon, LCSW
• Michael Cantrell, DPM
• Capital City MD, LLC
• Capoe LLC

• Mental Health Counselor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.