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KELI MIKAL CANNON
NPI 1508232356
Counselor - Mental Health in Portland, OR

Active since August 17, 2015
11035 NE SANDY BLVD, PORTLAND, OR 97220(503) 258-4200 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keli Mikal Cannon NPPES

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

KELI MIKAL CANNON (NPI 1508232356) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1508232356
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELI MIKAL CANNON
Location Address11035 NE SANDY BLVDPortland, OR 97220-2553
Mailing Address11035 Ne Sandy BlvdPortland, OR 97220-2553 · (503) 258-4200
Phone(503) 258-4200
Sole ProprietorYes
Enumeration DateAugust 17, 2015
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1508232356 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
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11035 NE SANDY BLVD, Portland, OR 97220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

MR. WALTER ROBIN STEFAN III
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
RACHEL ELENA IATAROLA
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 736-6646
HANSA GUTIERREZ
Marriage & Family Therapist
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4545
HALEIGH REYES
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
EDITH YANIRA QUINTANILLA
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
JANE GONZALEZ
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
CARYN BERLEY MSW
Counselor (Mental Health)
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200
KIMBREE LERAY BROWN MS
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Multnomah County (503) 258-4200

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 Keli Cannon's NPI number?

The NPI number for Keli Cannon is 1508232356. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Keli Cannon located?

Keli Cannon practices at 11035 NE Sandy Blvd, Portland, OR 97220. The listed phone number is (503) 258-4200.

What is Keli Cannon's specialty?

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

What insurance does Keli Cannon accept?

Health plans from Moda Health Plan, Inc. list Keli 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 Keli Cannon was last updated on October 13, 2021. 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.