Active NPI
Hope Cannon, M.A.
- Counseling Psychologist
- Woodstock, VT
National Provider Identifier
1720045578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 141
- Practice address
- 24 Elm St
2ND Floor
Woodstock, VT 05091-1000 - Phone
- (802) 457-4081
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 141 | VT | Primary |
Addresses
Primary practice location
24 Elm St
2ND Floor
Woodstock, VT 05091-1000
Mailing address
PO Box 413
Woodstock, VT 05091-0413
Phone (802) 457-4081
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06806149 | Other | VT | VT BLUE CROSS BLUE SHIELD |
| CA1002668 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141 | VT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1720045578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050910413",
"telephone_number": "802-457-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ELM ST",
"address_2": "2ND FLOOR",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050911000",
"telephone_number": "802-457-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "HOPE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BLUE CROSS BLUE SHIELD",
"identifier": "06806149",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CA1002668",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.