Eve J. Cannon, LPC, LPAT, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012268 Issued in PA

Practice address

8513 Glen Campbell Rd
Philadelphia, PA 19128-1212

Phone

(732) 713-5585

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Eve Cannon D'Onofrio Other name

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1699482240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8513 GLEN CAMPBELL RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281212",
            "telephone_number": "732-713-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8513 GLEN CAMPBELL RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281212",
            "telephone_number": "732-713-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "EVE",
        "middle_name": "J.",
        "credential": "LPC, LPAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012268",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "CANNON D'ONOFRIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tandalaya Sarah Cannon-Phillips, SEERS LAMA
• Carol A Cannon, CNP
• Crystal M Cannon
• Delia Cannon, FNP
• Ellen Cannon
• Jane M Cannon, M.D.
• Jeremy Wynne Cannon, M.D.
• Lorraine Marie Cannon, CRNP
• Molly Cannon
• Nicole Margaret Cannon, DPT

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.