CALLEEN ANN CANNON LCPC
NPI 1316144819
Counselor - Professional in Pocatello, ID

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
845 W CENTER ST, POCATELLO, ID 83204(208) 295-9430(208) 213-5765 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Aug 8, 2024 (2 updates tracked since 2024).

About Calleen Ann Cannon Lcpc NPPES

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

CALLEEN ANN CANNON LCPC (NPI 1316144819) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LCPC-4273) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chubbuck, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316144819
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCALLEEN ANN CANNONCredential: LCPC
Location Address845 W CENTER STPocatello, ID 83204-4205
Mailing Address845 W Center StPocatello, ID 83204-4205 · (208) 295-9430 · Fax (208) 213-5765
Fax(208) 213-5765
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1316144819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LCPC-4273
845 W CENTER ST, Pocatello, ID 83204

Secondary Practice Location 1

Location 1265 E Chubbuck RoadChubbuck, ID 83202-5055 · Phone (208) 237-1711 · Fax (208) 237-9806

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Calleen Ann Cannon Lcpc 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 ID8224540653
PECOS Enrollment IDI20250623001765
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
845 W CENTER ST
POCATELLO, ID 83204
Counselor (Mental Health)
845 W CENTER ST, SUITE C
POCATELLO, ID 83204
Physician Assistant (Medical)
845 W CENTER ST, SUITE 200
POCATELLO, ID 83204
Counselor (Professional)
845 W CENTER ST
POCATELLO, ID 83204
Counselor (Mental Health)
845 W CENTER ST, STE C102
POCATELLO, ID 83204
Physician Assistant
845 W CENTER ST, SUITE 200
POCATELLO, ID 83204
Counselor (Mental Health)
845 W CENTER ST, STE C102
POCATELLO, ID 83204
Counselor (Professional)
845 W CENTER ST
POCATELLO, ID 83204

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 Calleen Cannon's NPI number?

The NPI number for Calleen Cannon is 1316144819. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Calleen Cannon located?

Calleen Cannon practices at 845 W Center St, Pocatello, ID 83204. The listed phone number is (208) 295-9430.

What is Calleen Cannon's specialty?

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

Is Calleen Cannon enrolled in Medicare?

Yes. Calleen 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.

What insurance does Calleen Cannon accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Calleen 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 Calleen Cannon was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.