Active NPI
Cannon Counseling and Consulting LLC
- Professional Counselor
- Memphis, TN
National Provider Identifier
1780344630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CANNON COUNSELING AND CONSULTING LLC
- Practice address
- 6000 Poplar Ave Ste 250
Memphis, TN 38119-3974 - Phone
- (901) 303-8397
- NPI assigned
- Dec 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirsten Cannon
- Title
- Owner
- Phone
- (901) 303-8397
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Mailing address
6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (901) 303-8397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639958400000",
"number": "1780344630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 POPLAR AVE STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193974",
"telephone_number": "901-303-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 POPLAR AVE STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193974",
"telephone_number": "901-303-8397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANNON COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "CANNON",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-303-8397"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.