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MS. MARY ELIZABETH CANNON LMHC,CRC,CASAC
NPI 1164593661
Counselor - Mental Health in Montauk, NY

Active since November 13, 2006
69 SURFSIDE AVE, MONTAUK, NY 11954(631) 238-5060(631) 238-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Elizabeth Cannon Lmhc,crc,casac NPPES

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

MS. MARY ELIZABETH CANNON LMHC,CRC,CASAC (NPI 1164593661) is an individual mental health provider in Montauk, New York, licensed in New York (002860-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164593661
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY ELIZABETH CANNONCredential: LMHC,CRC,CASAC
Location Address69 SURFSIDE AVEMontauk, NY 11954-0896
Mailing AddressPo Box 1300, 69 Surfside AveMontauk, NY 11954-0896 · (631) 238-5060 · Fax (631) 238-5060
Phone(631) 238-5060
Fax(631) 238-5060
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164593661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 002860-1
69 SURFSIDE AVE, Montauk, NY 11954
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Other Names 1

Other Name (5)Ms. Mary Elizabeth Cannon Lmhc,crc,casac

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 1164593661. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Ms. Mary Elizabeth Cannon Lmhc,crc,casac.

Where is Mary Cannon located?

Mary Cannon practices at 69 Surfside Ave, Montauk, NY 11954. The listed phone number is (631) 238-5060.

What is Mary 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 Mary Cannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.