Charles Cannon, ED.S, NCSP, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

312 11TH Ave W Ste 201
Kirkland, WA 98033-5326

Phone

(425) 576-1817

NPI assigned

Mar 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Family Psychological Services of Kirkland, PS

  • Clinical Neuropsychologist
  • Kirkland, WA
  • NPI 1376661025
  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1225738792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 SE 292ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922075",
            "telephone_number": "602-377-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 11TH AVE W STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335326",
            "telephone_number": "425-576-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CHARLES",
        "credential": "ED.S, NCSP, LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Jean Campbell, M.ED.
• Richard Campbell, M.D.
• Suzanne Marie Campiche, MSW
• Laura Camunez
• Janet Rose Canniff, LMHC
• Daisha Renee Cannon, LMHCA
• Gina M Cantatore, LMT
• David Cantu, PA-C
• Holly Denise Card, RN
• Jessica Cardenas

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.