Individual provider Active NPI

Janice Allison Canton

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1255706735
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7389 Issued in OK
Practice address
4416 Saint Gregory Dr
Oklahoma City, OK 73120-8331
Phone
(405) 471-4792
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7389 OK Primary

Addresses

Primary practice location

4416 Saint Gregory Dr
Oklahoma City, OK 73120-8331

Mailing address

15708 Hatterly LN
Edmond, OK 73013-4180
Phone (405) 471-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240209000566 OK Practitioner - Mental Health Counselor 9931542693 Reassigns benefits to 1 organization
Practice locations: Edmond, OK

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 E 9TH St
Suite 8
Edmond, OK 73034-5773
Phone (405) 471-4792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7389OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

1320 E 9th St
Ste 8
Edmond, OK 73034
Phone (405) 471-4792

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1255706735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 HATTERLY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134180",
            "telephone_number": "405-471-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 SAINT GREGORY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208331",
            "telephone_number": "405-471-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTON",
        "first_name": "JANICE",
        "middle_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.