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THOMAS A. CANNON LCPC
NPI 1124352083
Counselor - Professional in Portland, ME

Active since September 25, 2009PECOS EnrolledAccepts Medicare Assignment
165 LANCASTER ST, PORTLAND, ME 04101(207) 874-1030(207) 874-1044 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas A. Cannon Lcpc NPPES

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

THOMAS A. CANNON LCPC (NPI 1124352083) is an individual professional provider in Portland, Maine, licensed in Maine (CC3836) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124352083
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTHOMAS A. CANNONCredential: LCPC
Location Address165 LANCASTER STPortland, ME 04101-2406
Mailing Address78 Atlantic PlSouth Portland, ME 04106-2316 · (207) 661-6654 · Fax (207) 842-7773
Phone(207) 874-1030
Fax(207) 874-1044
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 25, 2009
Last NPPES UpdateApril 20, 2015
✔ NPI 1124352083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC3836
165 LANCASTER ST, Portland, ME 04101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Thomas A. Cannon Lcpc 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.

PECOS PAC ID1658714811
PECOS Enrollment IDI20240205004234
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SCOTT W. HUTCHERSON LCPC
Counselor (Professional)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
JENNA NUNZIATO LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MACKENZIE MULLEN ROSS NP
Nurse Practitioner (Psychiatric/Mental Health)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
GLENN ANDREW MAYER LCPC, CCS
Counselor (Professional)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 661-6415
TERRY MORRELL LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
ROBERT TOSCANO D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MEREDITH FREIMER ANDERSON LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MS. HEATHER A. TRICKETT LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030

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 Thomas Cannon's NPI number?

The NPI number for Thomas Cannon is 1124352083. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Thomas Cannon located?

Thomas Cannon practices at 165 Lancaster St, Portland, ME 04101. The listed phone number is (207) 874-1030.

What is Thomas Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Thomas Cannon enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Cannon accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Thomas Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Cannon was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.