MS. MARY SPROWL CANNON M.A., LMFT
NPI 1053600825
Marriage & Family Therapist in San Jose, CA
About Ms. Mary Sprowl Cannon M.a., Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY SPROWL CANNON M.A., LMFT (NPI 1053600825) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC40685) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mary Sprowl Cannon M.a., Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Cannon's NPI number?
The NPI number for Mary Cannon is 1053600825. It was assigned to this individual provider in the NPPES registry on April 1, 2011.
Where is Mary Cannon located?
Mary Cannon practices at 1101 S Winchester Blvd Suite A101, San Jose, CA 95128. The listed phone number is (408) 859-4983.
What is Mary Cannon's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mary Cannon enrolled in Medicare?
Yes. Mary Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mary Cannon was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Mary Sprowl Cannon, M.A., LMFT · NPI 1053600825
Marriage & Family Therapist provider in San Jose, California. Individual provider, active in the CMS NPPES registry since April 1, 2011.
## Identity
- **NPI:** 1053600825 (Entity type: Individual)
- **Enumerated:** April 1, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC40685 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 S WINCHESTER BLVD, SUITE A101, San Jose, CA 95128-3901
- **Phone:** (408) 859-4983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** April 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053600825) · Data from the CMS NPPES public registry.