Ingrid D Cannella, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1808 Issued in LA

Practice address

2406 Evergreen LN
Pineville, LA 71360-4314

Phone

(318) 792-3331

Fax

(318) 487-5184

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ingrid D Cannella Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1437212065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 EVERGREEN LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604314",
            "telephone_number": "318-792-3331",
            "fax_number": "318-484-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 EVERGREEN LN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604314",
            "telephone_number": "318-792-3331",
            "fax_number": "318-487-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNELLA",
        "first_name": "INGRID",
        "middle_name": "D",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "695",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "CANNELLA",
            "middle_name": "D",
            "credential": "L.M.F.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charlotte Ann Cain, SLP
• Brenda Gail Caldwell, NURSE PRACTITIONER
• Angelica Calloway, BS
• Alton Brent Campbell, CRNA
• Tina Campbell, M.S., CCC-SLP
• Vicki G Cannella, LCSW
• Alicia Ann Cantrell
• Tawana R Carmouche, LOTR
• Cendi Coutee Carpenter
• Hannah Raye Carpenter

• Professional Counselor in Pineville, LA
• Providers in Pineville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.