Ms Cathlyn Carole Cannon, LPC MHSP in Johnson City, TN

Ms Cathlyn Carole Cannon, LPC MHSP is a medicare enrolled "Counselor - Professional" provider in Johnson City, Tennessee. Her current practice location is 114 E Unaka Ave, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 241-1408.

Ms Cathlyn Carole Cannon is licensed to practice in Tennessee (license number 001551) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952420895.

Contact Information

	Ms Cathlyn Carole Cannon, LPC MHSP
	114 E Unaka Ave, Johnson City, TN 37601-4624
	(865) 241-1408
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Cathlyn Carole Cannon
Gender	Female
Speciality	Counselor - Professional
Location	114 E Unaka Ave, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952420895
Provider Enumeration Date: 03/29/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4486003357
Enrollment ID: I20231218002837

Medical Identifiers

Medical identifiers for Ms Cathlyn Carole Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952420895	NPI	-	NPPES
59932800	Other	TN	MAGELLAN BEHAVIORAL HEALTH
1508371	Medicaid	TN
2500701	Other	TN	BLUECARE/TENNCARE
4078991	Other	TN	BCBS COMMERCIAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC 00511 (Tennessee)	Secondary
101YM0800X	Counselor - Mental Health	LPC 5511 (South Carolina)	Secondary
101YP2500X	Counselor - Professional	001551 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Cathlyn Carole Cannon allows following entities to bill medicare on her behalf.

Entity Name	Healthy Mind Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Cathlyn Carole Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Cathlyn Carole Cannon, LPC MHSP 1903 Sinking Creek Rd Apt 2, Johnson City, TN 37604-7822 Ph: (423) 418-2400	Ms Cathlyn Carole Cannon, LPC MHSP 114 E Unaka Ave, Johnson City, TN 37601-4624 Ph: (865) 241-1408

Reviews and Comments

Counselor in Johnson City, TN

Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644
Neil Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150
Michael Arthur Benoit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550
Dr. Nicholas Porta, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432

Ms Cathlyn Carole Cannon, LPC MHSP - Medicare Counselor in Johnson City, TN