Victoria Cannella

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NLC.0109386 Issued in CO

Practice address

4570 Hilton Pkwy Ste 202D
Colorado Springs, CO 80907-3566

Phone

(719) 432-9222

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brain Waves LLC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1558925453
  NPD (past)
• Colorado Motion

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1134572464

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1104387356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 WOODMEN RIDGE VW APT 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235201",
            "telephone_number": "719-338-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 202D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073566",
            "telephone_number": "719-432-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNELLA",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0109386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936956",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candor Counseling PLLC
• Betsy Ann Cane, LCSW
• Caitlyn Canfield
• Leslie Dianne Canicatti, RN
• Marissa Cannady
• Robin Cannello
• Adrienne Canno, MSW
• Claire Cannon
• Eileen Laurie Cannon, P.T.
• Jeremy Cannon

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.