Organization Active NPI

Gannon Clinical Services PLLC

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1497429435
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GANNON CLINICAL SERVICES PLLC
Practice address
29 Ravenscroft Dr Ste 202
Asheville, NC 28801-3602
Phone
(828) 712-8526
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Marie Gannon, LCMHC
Title
Owner/Operator
Phone
(828) 712-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

29 Ravenscroft Dr Ste 202
Asheville, NC 28801-3602

Mailing address

60 Trinity Chapel Rd
Asheville, NC 28805-1954
Phone (828) 712-8526

Other names 1

  • Marie Gannon Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

29 Ravenscroft Dr
Ste 202
Asheville, NC 28801
Phone (828) 712-8526

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1497429435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TRINITY CHAPEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051954",
            "telephone_number": "828-712-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RAVENSCROFT DR STE 202",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013602",
            "telephone_number": "828-712-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANNON CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "828-712-8526",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie Gannon Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.