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JEREMY CANNON
NPI 1457628091
Case Manager/Care Coordinator in Colorado Springs, CO

Active since November 28, 2011
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910(719) 579-6100 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Cannon NPPES

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

JEREMY CANNON (NPI 1457628091) is an individual case manager/care coordinator provider in Colorado Springs, Colorado and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1457628091
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJEREMY CANNON
Location Address179 S PARKSIDE DRColorado Springs, CO 80910-3130
Mailing Address220 Ruskin DrColorado Springs, CO 80910-2522 · (719) 579-6150
Phone(719) 579-6100
Sole ProprietorNo
Enumeration DateNovember 28, 2011
✔ NPI 1457628091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
179 S PARKSIDE DR, Colorado Springs, CO 80910
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Other Providers at the Same Location NPPES 20

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

LORI ELLEN STALCAR MS, LPC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
KIMBERLY SMITH FAUST MC, LPC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
JANE DOUGLASS
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
CYNTHIA LYNNETTE DUNCAN
Registered Nurse
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
JAMES F MACKEY LPC, NCC
Counselor (Professional)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
MICHAEL MAESTAS
Counselor (Addiction (Substance Use Disorder))
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6393
JANELLE HALE LMFT
Marriage & Family Therapist
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
NICOLE R GRUNENWALD LCSW
Social Worker (Clinical)
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100

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 Jeremy Cannon's NPI number?

The NPI number for Jeremy Cannon is 1457628091. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Jeremy Cannon located?

Jeremy Cannon practices at 179 S Parkside Dr, Colorado Springs, CO 80910. The listed phone number is (719) 579-6100.

What is Jeremy Cannon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Cannon was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.