Organization Active NPI

The Cannon Collective, LLC

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1548870264
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THE CANNON COLLECTIVE, LLC
Practice address
9401 Indian Creek Pkwy Ste 180
Overland Park, KS 66210-2090
Phone
(913) 210-0766
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Authorized official

Name
Emma Cannon, MS, LCMFTNPI 1598315202
Title
Owner/Therapist
Phone
(913) 210-0766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

9401 Indian Creek Pkwy Ste 180
Overland Park, KS 66210-2090

Mailing address

6920 W 162ND Ter Unit 7213
Overland Park, KS 66085-8255
Phone (913) 271-1771

Other names 1

  • Cannon Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

9401 Indian Creek Pkwy
Ste 180
Overland Park, KS 66210
Phone (913) 210-0484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688256000000",
    "number": "1548870264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 W 162ND TER UNIT 7213",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858255",
            "telephone_number": "913-271-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 INDIAN CREEK PKWY STE 180",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102090",
            "telephone_number": "913-210-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CANNON COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "913-210-0766",
        "authorized_official_credential": "MS, LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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.