Individual provider Active NPI

John P Gannon

  • Mental Health Counselor
  • Verona, VA
National Provider Identifier
1902768534
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
727 Lee Hwy Ste 103
Suite 103
Verona, VA 24482-2864
Phone
(540) 200-8846
NPI assigned
Dec 2, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X VA Primary

Addresses

Primary practice location

727 Lee Hwy Ste 103
Suite 103
Verona, VA 24482-2864

Mailing address

727 Lee Hwy Ste 103
Verona, VA 24482-2864

Other practice location 1

246 Rolla Mill Rd
Verona, VA 24482-2537
Phone (540) 200-8846

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

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1902768534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 LEE HWY STE 103",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 LEE HWY STE 103",
            "address_2": "SUITE 103",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822864",
            "telephone_number": "540-200-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Rolla Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "VA",
            "postal_code": "244822537",
            "country_code": "US",
            "telephone_number": "540-200-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANNON",
        "first_name": "JOHN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.