Tandy Israel Cannon, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12622 Issued in NC

Practice address

1365 7TH Ave E
Hendersonville, NC 28792-2804

Phone

(828) 702-7510

NPI assigned

May 28, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1649893314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 BATTLE CREEK RD",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287424724",
            "telephone_number": "719-214-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 7TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922804",
            "telephone_number": "828-702-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "TANDY",
        "middle_name": "ISRAEL",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12622",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Campbell, MD
• Sausan Tahtawi Campbell, M.D.
• Kimberley Alyse Cannaday, APRN, FNP-C
• James Cannon Jr., DDS
• Matthew R Cannon, O.D.
• Erika Cappelluti, MD
• Stephen Joseph Capps, M.D.
• Cappy'S Holistic Care LLC
• Dovie Delois Carabantes, LCMHCA
• Beth Carbine, LCAS

• Mental Health Counselor in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.