Nichole R George Cannon, LPCC-S in Canfield, OH

Nichole R George Cannon, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Canfield, Ohio. Her current practice location is 3645 Stutz Dr Ste A, Canfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 967-4111.

Nichole R George Cannon is licensed to practice in Ohio (license number E.2303342) 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 1235698457.

Contact Information

	Nichole R George Cannon, LPCC-S
	3645 Stutz Dr Ste A, Canfield, OH 44406-9168
	(330) 967-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole R George Cannon
Gender	Female
Speciality	Counselor - Professional
Location	3645 Stutz Dr Ste A, Canfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235698457
Provider Enumeration Date: 03/18/2019
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3375985005
Enrollment ID: I20240528001465

Medical Identifiers

Medical identifiers for Nichole R George Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235698457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CDCA.168825 (Ohio)	Secondary
101YP2500X	Counselor - Professional	C.2103080 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E.2303342 (Ohio)	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. Nichole R George Cannon allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710610423 PECOS PAC ID: 0143662551 Enrollment ID: O20240530000519

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. Nichole R George 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
Nichole R George Cannon, LPCC-S 3645 Stutz Dr Ste A, Canfield, OH 44406-9168 Ph: (330) 967-4111	Nichole R George Cannon, LPCC-S 3645 Stutz Dr Ste A, Canfield, OH 44406-9168 Ph: (330) 967-4111

Reviews and Comments

Counselor in Canfield, OH

Sean Carlos Harding, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Stutz Dr, Canfield, OH 44406 Phone: 330-967-4111 Fax: 330-967-4255
Ronald Haines Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3620 Stutz Dr, Canfield, OH 44406 Phone: 234-313-4795
Kurt W. Beler, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 S Raccoon Rd, Canfield, OH 44406 Phone: 330-533-6281 Fax: 330-533-6459
Diana Wolf, P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 3768 Boardman Canfield Rd Ste 5, Canfield, OH 44406 Phone: 330-798-0491 Fax: 330-303-4948
Katherine Feather, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406 Phone: 330-286-0050
Anne Lally, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Broad St, Canfield, OH 44406 Phone: 330-533-5450

Nichole R George Cannon, LPCC-S - Medicare Counselor in Canfield, OH