Nichole R George Cannon, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2303342 Issued in OH

Practice address

3645 Stutz Dr Ste a
Canfield, OH 44406-9168

Phone

(330) 967-4111

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nichole George-Dripps Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

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.

• Cornerstone Counseling, LLC

  • Professional Counselor
  • Canfield, OH
  • NPI 1710610423
  Medicare reassignment NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1235698457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STUTZ DR STE A",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069168",
            "telephone_number": "330-967-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STUTZ DR STE A",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069168",
            "telephone_number": "330-967-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE CANNON",
        "first_name": "NICHOLE",
        "middle_name": "R",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.168825",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103080",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "GEORGE-DRIPPS",
            "credential": "CDCA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gateways to Better Living, Inc.
• Kelcey Jean Gaudet, CASE MANAGER
• Susan Mary Geletka, M.D.
• Christina G Gemma, PAC
• Genesis Home,LTD.
• Rachel George, PTA009666
• Evelyn Elaine Gere
• Janinne Marie Getsy, DC
• Jacob J Giegel, LPC
• Zachary Gierlach

• Professional Counselor in Canfield, OH
• Providers in Canfield, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.