Brittany Cannon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8954 Issued in SC

Practice address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Phone

(843) 663-0770

NPI assigned

Jun 21, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Center for Counseling & Wellness

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1538439450
  NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1548004807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 STERLING DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017566",
            "telephone_number": "843-544-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha Michelle Brown, APRN, FNP-C
• Katie Brownschidle, DPT
• Building the Way Counseling and Consulting LLC
• Emily Burkhart, M.S. CCC-SLP
• Alexis Burnell
• Elizabeth Fox Cannon, PHARMD
• Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
• Carolinas Companionship and Care LLC (Seniors Helping Seniors - Grand Strand & Brunswick Shores)
• Alice Ruth Carter, APRN
• Robert Carter Jr., LMFT

• Professional Counselor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.