Individual provider Active NPI

Joseph J. Cannava, MS,LPCS, CDCS

  • Mental Health Counselor
  • Kenai, AK
National Provider Identifier
1821180456
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
482 Issued in AK
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
Fax
(888) 334-8293
NPI assigned
Sep 29, 2006
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 482 AK Primary
Counselor 101Y00000X 482 AK

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

PO Box 84101
Seattle, WA 98124-5401
Phone (907) 598-0030

Other practice location 1

230 E Marydale Ave
Suite 2
Soldotna, AK 99669-7648
Phone (907) 260-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003092 AK Practitioner - Mental Health Counselor 3577005289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenaitze Indian TribeGroup PAC ID 4082506225, 29 clinicians

Practice addresses (Care Compare)

508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
482AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenaitze Indian Tribe CurrentSince Jun 1, 2024 Accepting new patients
Kenaitze Indian Tribe Current Accepting new patients
Peninsula Community Health Services of Alaska, Inc. Past Accepting new patients

Locations

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIFAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1821180456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245401",
            "telephone_number": "907-598-0030",
            "fax_number": "888-334-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500",
            "fax_number": "888-334-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E Marydale Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697648",
            "country_code": "US",
            "telephone_number": "907-260-3691",
            "fax_number": "907-260-3697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNAVA",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MS,LPCS, CDCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "482",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.