Carrie Ella Cannon, M.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3455-C Issued in AR

Practice address

1615 Martin Luther King Blvd
Malvern, AR 72104-2233

Phone

(501) 332-5236

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kari Ella Hughes Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ouachita Regional Counseling and Mental Health Center, Inc. 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hot Springs, AR
  • NPI 1821087123

  AR

  Medicare reassignment Care Compare group NPD
• Ouachita Regional Counseling and Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Benton, AR
  • NPI 1780440305
  NPD
• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malvern, AR
  • NPI 1972756419
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1154579977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAGINAW EDDY RD",
            "city": "DONALDSON",
            "state": "AR",
            "postal_code": "719418060",
            "telephone_number": "501-515-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MARTIN LUTHER KING BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042233",
            "telephone_number": "501-332-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Pine St",
            "address_purpose": "LOCATION",
            "city": "Arkadelphia",
            "state": "AR",
            "postal_code": "719234335",
            "country_code": "US",
            "telephone_number": "870-245-2223",
            "fax_number": "870-245-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CARRIE",
        "middle_name": "ELLA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3455-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "HUGHES",
            "middle_name": "ELLA",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Caddy
• Michelle Cain
• Cassi Calcagno
• Tammy Campbell
• Caroline Canady, RECOVERY ADVOCATE
• Veronica Lea Cannon, APRN
• Caitlyn Cantrell
• Christina Cantrell
• Laura Lynn Carnahan, CCR, DSP
• Lisa Carol Carpenter, LPC

• All providers in Malvern, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.