1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Counselor
  6. NPI Profile

MARLA CANNEFAX M.S., LSSP, LPC
NPI 1619411204
Counselor - Professional in Tyler, TX

Active since December 15, 2016PECOS Enrolled
1800 SHILOH RD STE 205, TYLER, TX 75703(903) 312-4901 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Dec 20, 2018, Dec 15, 2016 (3 updates tracked since 2016).

About Marla Cannefax M.s., Lssp, Lpc NPPES

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

MARLA CANNEFAX M.S., LSSP, LPC (NPI 1619411204) is an individual professional provider in Tyler, Texas, licensed in Texas (72989) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619411204
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARLA CANNEFAXCredential: M.S., LSSP, LPC
Location Address1800 SHILOH RD STE 205Tyler, TX 75703-2456
Mailing Address1800 Shiloh Rd Ste 205Tyler, TX 75703-2456 · (903) 312-4901
Phone(903) 312-4901
Sole ProprietorNo
Enumeration DateDecember 15, 2016
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1619411204 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 TX · 72989
1800 SHILOH RD STE 205, Tyler, TX 75703
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1121 S Broadway Ave Ste 528Tyler, TX 75702-7209 · Phone (903) 330-5579
Location 23800 Paluxy DrTyler, TX 75703-1629 · Phone (903) 283-8729

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marla Cannefax M.s., Lssp, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Marla Cannefax's NPI number?

The NPI number for Marla Cannefax is 1619411204. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Marla Cannefax located?

Marla Cannefax practices at 1800 Shiloh Rd Ste 205, Tyler, TX 75703. The listed phone number is (903) 312-4901.

What is Marla Cannefax's specialty?

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

Is Marla Cannefax enrolled in Medicare?

Yes. Marla Cannefax is registered in the Medicare PECOS enrollment system.

What insurance does Marla Cannefax accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Marla Cannefax 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 Marla Cannefax was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.