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MR. JEREMY JON CANNON
NPI 1578842258
Counselor in Lakeland, FL

Active since August 11, 2011
5110 S FLORIDA AVE STE 105, LAKELAND, FL 33813(863) 450-9864 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeremy Jon Cannon NPPES

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

MR. JEREMY JON CANNON (NPI 1578842258) is an individual counselor in Lakeland, Florida and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1578842258
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JEREMY JON CANNON
Location Address5110 S FLORIDA AVE STE 105Lakeland, FL 33813-2517
Mailing Address5110 S Florida Ave Ste 105Lakeland, FL 33813-2517 · (863) 450-9864
Phone(863) 450-9864
Sole ProprietorNo
Enumeration DateAugust 11, 2011
Last NPPES UpdateAugust 15, 2011
✔ NPI 1578842258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5110 S FLORIDA AVE STE 105, Lakeland, FL 33813
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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.

JANET ALLEN
Social Worker (Clinical)
5110 S FLORIDA AVE STE 105
LAKELAND, FL 33813
Polk County (863) 608-9392
MRS. JACQUELINE J. REYCRAFT LMHC
Counselor (Mental Health)
5110 S FLORIDA AVE STE 105
LAKELAND, FL 33813
Polk County (863) 510-5902

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 1578842258. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Jeremy Cannon located?

Jeremy Cannon practices at 5110 S Florida Ave Ste 105, Lakeland, FL 33813. The listed phone number is (863) 450-9864.

What is Jeremy Cannon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Cannon was last updated on August 15, 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.