Emily Anne Van Cannon, LCPC-C, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL4264 Issued in ME

Practice address

44 Oak St
Portland, ME 04101-3939

Phone

(207) 756-4905

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Emily Anne Van Strien Former name

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.

• Heart Stone Counseling LLC

  • Mental Health Counselor
  • South Portland, ME
  • NPI 1902533714

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1700021839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ALFRED ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066302",
            "telephone_number": "207-756-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OAK ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013939",
            "telephone_number": "207-756-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CANNON",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "LCPC-C, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4077",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LSX11430",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4264",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "VAN STRIEN",
            "middle_name": "ANNE",
            "credential": "LCPC-C, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Malacria
• Julia Humphrey Vallelunga, LCSW
• Jennifer Larocque Valliere, LCSW
• Teresa Valliere, LCSW, LADC, CCS
• Brianna Nicole Valvano, CRNA
• Maud Van de Wiele, CNM
• Paige Van Deinse
• Helen Elizabeth Van Gorden, LCSW
• Christopher Van Hare, DO
• Anne Marie Van Hengel, MD

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.