COURTNEY MICHELLE CANNON (NPI# 1447645148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447645148 |
Entity Type | Individual |
Full Name | COURTNEY MICHELLE CANNON |
Practice Address |
1611 Hider Ln Clementon NJ 08021-4825 |
Mailing Address |
770 Woodlane Rd Westampton NJ 08060-3804 |
Practice Telephone | 8565372309 |
Practice Fax Number | 8562272184 |
Mailing Telephone | 6092675928 |
Enumeration Date | 2015-03-31 |
Last Update Date | 2016-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174819759 | Courtney Leigh Cannon | Specialist | 1407 Se Monroe St, Idabel, OK 74745-6619 | 2011-06-22 |
1487678124 | Courtney Cannon | Physician Assistant | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-07-26 |
Street Address |
1611 HIDER LN |
City | CLEMENTON |
State | NJ |
Zip Code | 08021-4825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417377656 | Deborah Lynn Kaplan | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-04-25 |
1902207673 | Darrell Barfield | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-09-11 |
1558760637 | Deana Scruggs | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
Find all providers in zip 08021 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396223723 | Najwa Driggins | Counselor | 110 Villas Ct, Clementon, NJ 08021-5619 | 2018-07-28 |
1982130001 | Brenda Byrd | Counselor | 41 Chelsea Cir, Clementon, NJ 08021-4235 | 2017-05-10 |
1831635465 | Doreen Taylor | Counselor | 152 Lacascata, Clementon, NJ 08021 | 2017-01-06 |
1417314782 | Domir Golden | Counselor | 730 Millbridge Rd, Clementon, NJ 08021-5513 | 2016-01-18 |
1417377656 | Deborah Lynn Kaplan | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-04-25 |
1902207673 | Darrell Barfield | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-09-11 |
1558760637 | Deana Scruggs | Counselor | 1611 Hider Ln, Clementon, NJ 08021-4825 | 2014-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.