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MS. COLLEEN H CANYON LCSW
NPI 1801935010
Social Worker - Clinical in Jersey City, NJ

Active since February 05, 2007Opted out of Medicare · through Feb 22, 2027
220 9TH ST, JERSEY CITY, NJ 07302(929) 992-0935 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2025, Feb 24, 2025, Feb 7, 2023 and 3 more (6 updates tracked since 2017).

About Ms. Colleen H Canyon Lcsw NPPES

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

MS. COLLEEN H CANYON LCSW (NPI 1801935010) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC06373900) and active in the NPI registry since February 2007. She has opted out of Medicare through February 22, 2027.

NPPES Registry Identity

NPI1801935010
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. COLLEEN H CANYONCredential: LCSW
Location Address220 9TH STJersey City, NJ 07302-4288
Mailing Address394 Mountain RoadUnion City, NJ 07087 · (917) 881-8096
Phone(929) 992-0935
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMarch 23, 20256 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1801935010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NJ · 44SC06373900✔ Licensed in NY · 098837
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedAcupuncturistTaxonomy 171100000X · License 25MZ00019300 (NJ), 001473 (NY)
220 9TH ST, Jersey City, NJ 07302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Colleen H Canyon Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2025 through February 22, 2027.

Opt-Out Effective DateFebruary 22, 2025
Opt-Out In Effect ThroughFebruary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

THE HOLISTIC BUMP
Counselor (Mental Health)
220 9TH ST
JERSEY CITY, NJ 07302
Hudson County (848) 297-4275

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 Colleen Canyon's NPI number?

The NPI number for Colleen Canyon is 1801935010. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Colleen Canyon located?

Colleen Canyon practices at 220 9th St, Jersey City, NJ 07302. The listed phone number is (929) 992-0935.

What is Colleen Canyon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Colleen Canyon enrolled in Medicare?

No. Colleen Canyon has opted out of Medicare through February 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colleen Canyon was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.