Amy Cannon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008864 Issued in PA

Practice address

32 E McGovern Ave Ste 9
Lancaster, PA 17602-1923

Phone

(717) 212-2064

NPI assigned

Apr 28, 2016

Sex

Female

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

Opted out of Medicare

Yes, effective Jul 3, 2024 through Jul 3, 2028

Medicare enrollment (NPD)

Not 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.

• Flourish Counseling and Wellness Services LLC

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1952294803
  NPD Authorized official
• Pressley Ridge

  • Community/Behavioral Health Agency
  • Harrisburg, PA
  • NPI 1992017586
  NPD (past)

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1366897282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KAYO AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MCGOVERN AVE STE 9",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021923",
            "telephone_number": "717-212-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campus Opticians, Inc.
• Campus Oral & Maxillofacial Surgery, P.C.
• Campus Wellness Partners
• Cancer Care for Women PC
• Shannon Canning
• Andrew Scott Cannon, PT
• Jean S Cannon, PSY.D.
• Jessica Michelle Cannon, MS, RDN, LDN
• Katelyn Cannon
• Rotilio P Canosa, DO

• Professional Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.