KANNON ELIZABETH LCSW, LICSW
NPI 1326463712
Counselor - Mental Health in Portland, OR

Active since February 21, 2014
6500 S MACADAM AVE STE 375, PORTLAND, OR 97239(541) 357-9433 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kannon Elizabeth Lcsw, Licsw NPPES

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

KANNON ELIZABETH LCSW, LICSW (NPI 1326463712) is an individual mental health provider in Portland, Oregon, licensed in Washington (CG60441194) and active in the NPI registry since February 2014. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1326463712
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKANNON ELIZABETHCredential: LCSW, LICSW
Location Address6500 S MACADAM AVE STE 375Portland, OR 97239-3566
Mailing Address6500 S Macadam Ave Ste 375Portland, OR 97239-3566 · (541) 357-9433 · Fax (541) 603-9990
Sole ProprietorYes
Enumeration DateFebruary 21, 2014
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1326463712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · CG60441194 Licensed in WA · LW60713264
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License L7100 (OR)
6500 S MACADAM AVE STE 375, Portland, OR 97239

Secondary Practice Location 1

Location 1436 SE 12th AvePortland, OR 97214-1323 · Phone (503) 305-3088

Accepted Insurance

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.

Psychologist
6500 S MACADAM AVE STE 375
PORTLAND, OR 97239
Marriage & Family Therapist
6500 S MACADAM AVE STE 375
PORTLAND, OR 97239

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 Kannon Elizabeth's NPI number?

The NPI number for Kannon Elizabeth is 1326463712. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Kannon Elizabeth located?

Kannon Elizabeth practices at 6500 S Macadam Ave Ste 375, Portland, OR 97239. The listed phone number is (541) 357-9433.

What is Kannon Elizabeth's specialty?

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

What insurance does Kannon Elizabeth accept?

Health plans from PacificSource Health Plans list Kannon Elizabeth 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 Kannon Elizabeth was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.