Northstar Counseling & Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NORTHSTAR COUNSELING & CONSULTING LLC

Practice address

26756 Main St.
Ardmore, AL 35739

Phone

(256) 434-7505

Fax

(256) 646-1265

NPI assigned

Apr 29, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Glynn E, Cannon, LPCNPI 1225676034

Title

Mental Health Therapist

Phone

(256) 434-7505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glynn Edward Cannon, LPC

  • Professional Counselor
  • Ardmore, AL
  • NPI 1225676034

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754179200000",
    "number": "1396533469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384491084",
            "telephone_number": "256-434-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26756 MAIN ST.",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "35739",
            "telephone_number": "256-434-7505",
            "fax_number": "256-646-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "GLYNN",
        "authorized_official_middle_name": "E,",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "256-434-7505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ardmore, AL
• Providers in Ardmore, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; 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.