MARCUS LARAY CANNON
NPI 1821618828
Peer Specialist in Cleveland, OH

Active since April 20, 2020
1400 E 55TH ST, CLEVELAND, OH 44103(216) 391-6672 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marcus Laray Cannon NPPES

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

MARCUS LARAY CANNON (NPI 1821618828) is an individual peer specialist in Cleveland, Ohio and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1821618828
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARCUS LARAY CANNON
Location Address1400 E 55TH STCleveland, OH 44103-1304
Mailing Address10614 Crestwood AveCleveland, OH 44104-3511
Sole ProprietorYes
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
NPI 1821618828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1400 E 55TH ST, Cleveland, OH 44103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Counselor (Addiction (Substance Use Disorder))
1400 E 55TH ST
CLEVELAND, OH 44103
Case Manager/Care Coordinator
1400 E 55TH ST
CLEVELAND, OH 44103
Counselor (Mental Health)
1400 E 55TH ST
CLEVELAND, OH 44103
Counselor (Addiction (Substance Use Disorder))
1400 E 55TH ST
CLEVELAND, OH 44103
Peer Specialist
1400 E 55TH ST
CLEVELAND, OH 44103
Social Worker
1400 E 55TH ST
CLEVELAND, OH 44103
Peer Specialist
1400 E 55TH ST
CLEVELAND, OH 44103
Counselor (Addiction (Substance Use Disorder))
1400 E 55TH ST
CLEVELAND, OH 44103

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 Marcus Cannon's NPI number?

The NPI number for Marcus Cannon is 1821618828. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Marcus Cannon located?

Marcus Cannon practices at 1400 E 55th St, Cleveland, OH 44103. The listed phone number is (216) 391-6672.

What is Marcus Cannon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Marcus Cannon was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.