MRS. CARRIE ELLA CANNON M.A.
NPI 1154579977
Social Worker - Clinical in Malvern, AR

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
1615 MARTIN LUTHER KING BLVD, MALVERN, AR 72104(501) 332-5236 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Carrie Ella Cannon M.a. NPPES

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

MRS. CARRIE ELLA CANNON M.A. (NPI 1154579977) is an individual clinical provider in Malvern, Arkansas, licensed in Arkansas (3455-C) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arkadelphia, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154579977
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CARRIE ELLA CANNONCredential: M.A.
Location Address1615 MARTIN LUTHER KING BLVDMalvern, AR 72104-2233
Mailing Address571 Saginaw Eddy RdDonaldson, AR 71941-8060 · (501) 515-8656
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 4, 2008
Last NPPES UpdateSeptember 30, 2019
✔ NPI 1154579977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 3455-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1615 MARTIN LUTHER KING BLVD, Malvern, AR 72104

Other Names 1

Former Name (1)Ms. Kari Ella Hughes M.a.

Secondary Practice Location 1

Location 12410 Pine StArkadelphia, AR 71923-4335 · Phone (870) 245-2223 · Fax (870) 245-2225

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carrie Ella Cannon M.a. 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 ID6305178781
PECOS Enrollment IDI20191105000511
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.

Medicare Billing Reassignment

Medicare enrollment records show Carrie Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
125 WELLNESS WAY
Hot Springs, AR 71913
  • Reassigned Medicare billing, Arkansas enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
150 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Case Manager/Care Coordinator
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Case Manager/Care Coordinator
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Social Worker (Clinical)
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Case Manager/Care Coordinator
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Case Manager/Care Coordinator
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Counselor (Mental Health)
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Peer Specialist
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104
Behavior Technician
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104

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 Carrie Cannon's NPI number?

The NPI number for Carrie Cannon is 1154579977. It was assigned to this individual provider in the NPPES registry on September 4, 2008. The provider is also known as Ms. Kari Ella Hughes M.A..

Where is Carrie Cannon located?

Carrie Cannon practices at 1615 Martin Luther King Blvd, Malvern, AR 72104. The listed phone number is (501) 332-5236.

What is Carrie Cannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carrie Cannon enrolled in Medicare?

Yes. Carrie 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.

Which organization bills Medicare for Carrie Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Cannon reassigns Medicare benefits to Ouachita Regional Counseling & Mental Health Center, Inc. (Hot Springs, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Cannon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carrie 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 Carrie Cannon was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.