BRENDA JEAN CANNON (NPI# 1962638908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962638908 |
Entity Type | Individual |
Full Name | BRENDA JEAN CANNON |
Credential | MS, NCC, LPC |
Practice Address |
1317 Boswell Dr Laramie WY 82070-5453 |
Mailing Address |
1050 N 3rd St Suite B1 Laramie WY 82072-2544 |
Practice Telephone | 3078519736 |
Practice Fax Number | 3077426702 |
Mailing Telephone | 3077424769 |
Mailing Fax Number | 3077426702 |
Enumeration Date | 2009-06-04 |
Last Update Date | 2012-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC #1214 | WY | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
LPC #1214 | WY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
Street Address |
1317 BOSWELL DR |
City | LARAMIE |
State | WY |
Zip Code | 82070-5453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
Find all providers in zip 82070 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336783844 | Developmental Preschool & Day Care Center | Counselor | 1771 Centennial Dr Ste 220, Laramie, WY 82070-8404 | 2019-10-29 |
1073915567 | Lindsey Salisbury | Counselor | 2667 Monroe St, Laramie, WY 82070-6551 | 2014-09-16 |
1790198729 | Deb Perkins | Counselor | 1412 Steele St, Laramie, WY 82070-4727 | 2014-06-06 |
1629407762 | Transformational Wellness LLC | Counselor | 652 N Pierce St, Laramie, WY 82070-6032 | 2013-11-08 |
1881978435 | Ashlee Mickelson | Counselor | 610 S 5th St, Laramie, WY 82070-3720 | 2011-09-30 |
1730463480 | William Holt | Counselor | 1771 Centennial Dr, Laramie, WY 82070-8403 | 2011-09-29 |
1437389137 | Nancy Knadler | Counselor | 813 E Kearney St, Laramie, WY 82070-3937 | 2009-07-16 |
1164662284 | Lay-nah Blue Morris | Counselor | 2458 N 9th St Lot 72, Laramie, WY 82072-1790 | 2009-03-02 |
1386799914 | Kathryn Nash | Counselor | 2020 E Grand Ave, Laramie, WY 82070-4383 | 2007-01-24 |
1881773083 | Krista Marie-merezko Manton | Counselor | 1050 N 3rd St, Suite B-1, Laramie, WY 82072-2544 | 2006-11-06 |
Find all providers in LARAMIE |
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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.