Kellie Cannon, LPC, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

102 5TH St SE # 305
Charlottesville, VA 22902-5246

Phone

(434) 218-3283

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Virginia Beach Counseling and Wellness

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1851779276
  Medicare reassignment NPD
• Attune Therapies LLC

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1093694721
  NPD Authorized official
• Marianne Stinson, LPC, LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1386269256
  NPD
• Christine Bowers LMFT, LLC

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1902422355
  NPD (past)

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1881450161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 5TH ST SE # 305",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025246",
            "telephone_number": "434-218-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 5TH ST SE # 305",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025246",
            "telephone_number": "434-218-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1553 Bradford Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234554094",
            "country_code": "US",
            "telephone_number": "757-453-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "KELLIE",
        "credential": "LPC, MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Campos, LCSW
• Daniela Andrea Canas Baena
• Juliana A Canas Baena, LCSW
• Joel Nicholas Canner
• Matthew J Canning, LCSW
• Tikara Shauneice Cannon, CBS, IBCLC
• Zachary Canova, PT
• Randolph J. Canterbury, M.D.
• Katelyn Cantrell
• Leigh A. Cantrell, M.D., MSPH

• Mental Health Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.