ANTHONY CANNON
NPI 1164317319
Counselor - Mental Health in Roseburg, OR

Active since June 10, 2025
548 SE JACKSON ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Cannon NPPES

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

ANTHONY CANNON (NPI 1164317319) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1164317319
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTHONY CANNON
Location Address548 SE JACKSON STRoseburg, OR 97470-4983
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1164317319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
548 SE JACKSON ST, Roseburg, OR 97470

Other Names 1

Other Name (5)Tony Cannon

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.

Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
548 SE JACKSON ST
ROSEBURG, OR 97470
Counselor (Mental Health)
548 SE JACKSON ST
ROSEBURG, OR 97470
Marriage & Family Therapist
548 SE JACKSON ST
ROSEBURG, OR 97470
Registered Nurse
548 SE JACKSON ST
ROSEBURG, OR 97470
Case Manager/Care Coordinator
548 SE JACKSON ST
ROSEBURG, OR 97470

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 Anthony Cannon's NPI number?

The NPI number for Anthony Cannon is 1164317319. It was assigned to this individual provider in the NPPES registry on June 10, 2025. The provider is also known as Tony Cannon.

Where is Anthony Cannon located?

Anthony Cannon practices at 548 SE Jackson St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Anthony Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Anthony Cannon was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.