AUBREY CANNON
NPI 1184206617
Counselor - Professional in Saint Louis, MO
About Aubrey Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUBREY CANNON (NPI 1184206617) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2021037534) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aubrey Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Aubrey Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Cruces, NM 88011
- Reassigned Medicare billing, Missouri enrollment
- 60 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 2
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aubrey Cannon's NPI number?
The NPI number for Aubrey Cannon is 1184206617. It was assigned to this individual provider in the NPPES registry on April 23, 2021.
Where is Aubrey Cannon located?
Aubrey Cannon practices at 12801 Flushing Meadows Dr Ste 110, Saint Louis, MO 63131. The listed phone number is (314) 907-0216.
What is Aubrey Cannon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Aubrey Cannon enrolled in Medicare?
Yes. Aubrey Cannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Aubrey Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aubrey Cannon reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). 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 Aubrey Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aubrey Cannon accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Moda Health Plan, Inc., Oscar Insurance Company and Select Health and 1 other insurer list Aubrey 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 Aubrey Cannon was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Aubrey Cannon · NPI 1184206617
Professional provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1184206617 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021037534 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12801 FLUSHING MEADOWS DR STE 110, Saint Louis, MO 63131-1829
- **Phone:** (314) 907-0216
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Deer Oaks Mental Health Associates PC (NPI 1134175763, Las Cruces, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184206617) · Data from the CMS NPPES public registry.