JENNIFER CANNON MHPS-PSS - NPI 1013515238 - Peer Specialist in Spring, TX

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Jennifer Cannon Mhps-pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER CANNON MHPS-PSS (NPI 1013515238) is an individual peer specialist in Spring, Texas, licensed in Texas (50025-0820) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1013515238

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJENNIFER CANNONCredential: MHPS-PSS

Location Address1411 WUNSCHE LOOP, #2079Spring, TX 77373-2079

Mailing AddressPo Box 2079Spring, TX 77383-2079 · (832) 554-6541

Phone(832) 554-6541

Sole ProprietorYes

Enumeration DateOctober 9, 2020

Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1013515238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in TX · 50025-0820

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedDriverTaxonomy 172A00000X

Also ListedHealth EducatorTaxonomy 174H00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1411 WUNSCHE LOOP, Spring, TX 77373

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