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KATHERINE GANNON
NPI 1780354456
Counselor - Mental Health in Tranquility, NJ

Active since September 15, 2021PECOS Enrolled
33 KENNEDY ROAD, SUITE 33A, TRANQUILITY, NJ 07879(908) 914-7866 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2023, Sep 15, 2021 (2 updates tracked since 2021).

About Katherine Gannon NPPES

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

KATHERINE GANNON (NPI 1780354456) is an individual mental health provider in Tranquility, New Jersey, licensed in New Jersey (37AC00532800) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780354456
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE GANNON
Location Address33 KENNEDY ROAD, SUITE 33ATranquility, NJ 07879
Mailing Address33 Kennedy Road, Suite 33aTranquility, NJ 07879 · (973) 262-0868
Phone(908) 914-7866
Sole ProprietorNo
Enumeration DateSeptember 15, 2021
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1780354456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00532800
33 KENNEDY ROAD, Tranquility, NJ 07879
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Katherine Gannon 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 Katherine Gannon's NPI number?

The NPI number for Katherine Gannon is 1780354456. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Katherine Gannon located?

Katherine Gannon practices at 33 Kennedy Road Suite 33A, Tranquility, NJ 07879. The listed phone number is (908) 914-7866.

What is Katherine Gannon's specialty?

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

Is Katherine Gannon enrolled in Medicare?

Yes. Katherine Gannon is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Gannon accept?

Health plans from Providence Health Plan list Katherine Gannon 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 Katherine Gannon was last updated on August 18, 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.