NICHOLE R GEORGE CANNON LPCC-S
NPI 1235698457
Counselor - Professional in Canfield, OH

Active since March 18, 2019PECOS Enrolled
3645 STUTZ DR STE A, CANFIELD, OH 44406(330) 967-4111 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Oct 11, 2023, Jan 12, 2021 and 4 more (7 updates tracked since 2019).

About Nichole R George Cannon Lpcc-s NPPES

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

NICHOLE R GEORGE CANNON LPCC-S (NPI 1235698457) is an individual professional provider in Canfield, Ohio, licensed in Ohio (E.2303342) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235698457
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLE R GEORGE CANNONCredential: LPCC-S
Location Address3645 STUTZ DR STE ACanfield, OH 44406-9168
Mailing Address3645 Stutz Dr Ste ACanfield, OH 44406-9168 · (330) 967-4111
Sole ProprietorYes
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 3, 20247 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1235698457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.2303342✔ Licensed in OH · C.2103080
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.168825 (OH)
3645 STUTZ DR STE A, Canfield, OH 44406

Other Names 1

Former Name (1)Nichole George-dripps Cdca, Lpc

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)

Nichole R George Cannon Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nichole George Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
3645 STUTZ DR
Canfield, OH 44406
  • Reassigned Medicare billing, Ohio enrollment
  • 3 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.

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 Nichole George Cannon's NPI number?

The NPI number for Nichole George Cannon is 1235698457. It was assigned to this individual provider in the NPPES registry on March 18, 2019. The provider is also known as Nichole George-Dripps Cdca, Lpc.

Where is Nichole George Cannon located?

Nichole George Cannon practices at 3645 Stutz Dr Ste A, Canfield, OH 44406. The listed phone number is (330) 967-4111.

What is Nichole George Cannon's specialty?

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

Is Nichole George Cannon enrolled in Medicare?

Yes. Nichole George Cannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nichole George Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole George Cannon reassigns Medicare benefits to Cornerstone Counseling, LLC (Canfield, OH). 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 Nichole George Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole George Cannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Nichole George 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 Nichole George Cannon was last updated on October 3, 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.