Sophia Ayana Cannon, MCRC, CRC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78375 Issued in TX

Practice address

1332 Teasley LN # 103a
Denton, TX 76205-7946

Phone

(469) 986-9629

Fax

(469) 453-3193

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

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.

• 92 Reasons

  • Community/Behavioral Health Agency
  • Denton, TX
  • NPI 1275142739
  NPD Authorized official
• 92 Reasons PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denton, TX
  • NPI 1396515516

  Professional

  NPD Authorized official
• Soda Ventures LLC. D.B.a. 92 Reasons

  • Professional Counselor
  • Denton, TX
  • NPI 1285267914
  NPD Authorized official
• Texas Rehab Counseling & Assessments

  • Rehabilitation Counselor
  • Denton, TX
  • NPI 1801315866

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205355260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 TEASLEY LN # 103A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "469-986-9629",
            "fax_number": "469-453-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 TEASLEY LN # 103A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "469-986-9629",
            "fax_number": "469-453-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Longshore Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685486",
            "country_code": "US",
            "telephone_number": "469-406-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SOPHIA",
        "middle_name": "AYANA",
        "credential": "MCRC, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": "TX",
            "license": "00230818",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Paige Campbell, LCSW
• Aisha Campos
• Elaine Veronica Candeloro, CNM
• Victor Alejandro Canela Samaniego, DO
• Jennifer Michelle Cannon, P.T,
• Cantex Home Health Denton LLC
• Debra Elaine Cantrell, LPC
• Emily Cantrell
• Jay Patrice Capan, RN, PHCNS-BC
• Rachal Page Capulli, PA-C

• Professional Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.