Active NPI
Sheila Lynn Cannon, LPC
- Professional Counselor
- Poplar Bluff, MO
National Provider Identifier
1538620331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2019009239
- Practice address
- 225 Physicians Park Ste 304
Poplar Bluff, MO 63901-3930 - Phone
- (573) 727-5500
- Fax
- (573) 399-2646
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019009239 | MO | Primary |
Addresses
Primary practice location
225 Physicians Park Ste 304
Poplar Bluff, MO 63901-3930
Mailing address
110 S 2ND St
Ellington, MO 63638-9400
Phone (573) 663-2313
Other practice location 1
109 LeRoux St
Doniphan, MO 63935-1038
Phone (573) 996-2136
Other practice location 2
109 Plum St Ste A
Doniphan, MO 63935-1225
Phone (573) 351-0150
Other practice location 3
61 Highway Y
Ellington, MO 63638-7802
Phone (573) 663-2525
Other practice location 4
1 Hals Plz Ste A
Piedmont, MO 63957-1631
Phone (573) 223-4800
Other practice location 5
109 Plum St Ste B
Doniphan, MO 63935-1225
Phone (573) 351-0220
Other practice location 6
2210 Barron Rd Ste 120
Poplar Bluff, MO 63901-1922
Phone (573) 785-6536
Other practice location 7
225 Physicians Park Ste 200
Poplar Bluff, MO 63901-3921
Phone (573) 727-5500 ext. 5
Other practice location 8
225 Physicians Park Ste 102
Poplar Bluff, MO 63901-3918
Phone (573) 727-5500 ext. 2
Other practice location 9
2879 James Blvd
Poplar Bluff, MO 63901-3395
Phone (573) 609-8800
Other practice location 10
2879 James Blvd
Poplar Bluff, MO 63901-3395
Phone (573) 712-1610
Other practice location 11
220 East Broad Street
Naylor, MO 63953
Phone (573) 399-2311
Other practice location 12
17959 Main St
Eminence, MO 65466-6375
Phone (573) 226-5505
Other practice location 13
18 Viburnum Center Rd
Viburnum, MO 65566-7802
Phone (573) 244-5406
Other practice location 14
603 E Summit St
Doniphan, MO 63935-1142
Phone (573) 996-3667 ext. 1117
Other practice location 15
711 Nickey St
Poplar Bluff, MO 63901-6544
Phone (573) 785-7047 ext. 13040
Other practice location 16
3277 US Highway 160 W
Doniphan, MO 63935-5710
Phone (573) 804-9527
Other practice location 17
289 Broadway St
Neelyville, MO 63954-7176
Phone (573) 804-9494
Other practice location 18
2300 Baugh Ln
Poplar Bluff, MO 63901-2402
Phone (573) 785-3037 ext. 16044
Other practice location 19
1300 Victory Ln
Poplar Bluff, MO 63901-3300
Phone (573) 785-5566 ext. 17097
Other practice location 20
11001 US-160
Harviell, MO 63945
Phone (573) 804-9561
Other practice location 21
101 E Batten Street
Naylor, MO 63953
Phone (573) 804-1779
Other practice location 22
202 Allen St
Annapolis, MO 63620-8778
Phone (573) 598-4213
Other practice location 23
315 W Mulberry Ste A
Pilot Knob, MO 63663-7883
Phone (573) 546-0602
Other practice location 24
405 Main Street
Van Buren, MO 63965
Phone (573) 323-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260324003210 | MO | Practitioner - Mental Health Counselor | 3072097393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Springs Medical Association
Practice addresses (Care Compare)
225 Physicians Park
Suite 304
Poplar Bluff, MO 63901-3930
Phone (573) 663-2313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019009239 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Center | Past | Accepting new patients | |
| Community Counseling Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Van Buren, MO
- NPI 1225045321
MO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cape Girardeau, MO
- NPI 1235244757
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cape Girardeau, MO
- NPI 1861154130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1538620331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 2ND ST",
"city": "ELLINGTON",
"state": "MO",
"postal_code": "636389400",
"telephone_number": "573-663-2313",
"fax_number": "573-663-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PHYSICIANS PARK STE 304",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013930",
"telephone_number": "573-727-5500",
"fax_number": "573-399-2646"
}
],
"practiceLocations": [
{
"address_1": "109 LeRoux St",
"address_purpose": "LOCATION",
"city": "Doniphan",
"state": "MO",
"postal_code": "639351038",
"country_code": "US",
"telephone_number": "573-996-2136",
"fax_number": "573-996-5216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Plum St Ste A",
"address_purpose": "LOCATION",
"city": "Doniphan",
"state": "MO",
"postal_code": "639351225",
"country_code": "US",
"telephone_number": "573-351-0150",
"fax_number": "573-996-2245",
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},
{
"address_1": "61 Highway Y",
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"postal_code": "636387802",
"country_code": "US",
"telephone_number": "573-663-2525",
"fax_number": "573-663-7844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hals Plz Ste A",
"address_purpose": "LOCATION",
"city": "Piedmont",
"state": "MO",
"postal_code": "639571631",
"country_code": "US",
"telephone_number": "573-223-4800",
"fax_number": "573-223-7911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Plum St Ste B",
"address_purpose": "LOCATION",
"city": "Doniphan",
"state": "MO",
"postal_code": "639351225",
"country_code": "US",
"telephone_number": "573-351-0220",
"fax_number": "573-996-2246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2210 Barron Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639011922",
"country_code": "US",
"telephone_number": "573-785-6536",
"fax_number": "573-785-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Physicians Park Ste 200",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639013921",
"country_code": "US",
"telephone_number": "573-727-5500 x5",
"fax_number": "573-313-3684",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Physicians Park Ste 102",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639013918",
"country_code": "US",
"telephone_number": "573-727-5500 x2",
"fax_number": "573-413-4609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2879 James Blvd",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639013395",
"country_code": "US",
"telephone_number": "573-609-8800",
"fax_number": "573-776-6124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2879 James Blvd",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639013395",
"country_code": "US",
"telephone_number": "573-712-1610",
"fax_number": "573-776-6124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 East Broad Street",
"address_purpose": "LOCATION",
"city": "Naylor",
"state": "MO",
"postal_code": "63953",
"country_code": "US",
"telephone_number": "573-399-2311",
"fax_number": "573-399-2076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17959 Main St",
"address_purpose": "LOCATION",
"city": "Eminence",
"state": "MO",
"postal_code": "654666375",
"country_code": "US",
"telephone_number": "573-226-5505",
"fax_number": "573-226-1256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 Viburnum Center Rd",
"address_purpose": "LOCATION",
"city": "Viburnum",
"state": "MO",
"postal_code": "655667802",
"country_code": "US",
"telephone_number": "573-244-5406",
"fax_number": "573-244-5591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 E Summit St",
"address_purpose": "LOCATION",
"city": "Doniphan",
"state": "MO",
"postal_code": "639351142",
"country_code": "US",
"telephone_number": "573-996-3667 x1117",
"fax_number": "573-413-4487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "711 Nickey St",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639016544",
"country_code": "US",
"telephone_number": "573-785-7047 x13040",
"fax_number": "573-413-4192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3277 US Highway 160 W",
"address_purpose": "LOCATION",
"city": "Doniphan",
"state": "MO",
"postal_code": "639355710",
"country_code": "US",
"telephone_number": "573-804-9527",
"fax_number": "573-804-9536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "289 Broadway St",
"address_purpose": "LOCATION",
"city": "Neelyville",
"state": "MO",
"postal_code": "639547176",
"country_code": "US",
"telephone_number": "573-804-9494",
"fax_number": "573-804-9493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Baugh Ln",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639012402",
"country_code": "US",
"telephone_number": "573-785-3037 x16044",
"fax_number": "573-413-4506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Victory Ln",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639013300",
"country_code": "US",
"telephone_number": "573-785-5566 x17097",
"fax_number": "573-413-4194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11001 US-160",
"address_purpose": "LOCATION",
"city": "Harviell",
"state": "MO",
"postal_code": "63945",
"country_code": "US",
"telephone_number": "573-804-9561",
"fax_number": "573-804-9581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E Batten Street",
"address_purpose": "LOCATION",
"city": "Naylor",
"state": "MO",
"postal_code": "63953",
"country_code": "US",
"telephone_number": "573-804-1779",
"fax_number": "573-804-1789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 Allen St",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MO",
"postal_code": "636208778",
"country_code": "US",
"telephone_number": "573-598-4213",
"fax_number": "573-598-1101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 W Mulberry Ste A",
"address_purpose": "LOCATION",
"city": "Pilot Knob",
"state": "MO",
"postal_code": "636637883",
"country_code": "US",
"telephone_number": "573-546-0602",
"fax_number": "573-546-0546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Main Street",
"address_purpose": "LOCATION",
"city": "Van Buren",
"state": "MO",
"postal_code": "63965",
"country_code": "US",
"telephone_number": "573-323-4253",
"fax_number": "573-323-0154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "SHEILA",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019009239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.