KELLIE CANNON LPC, MA, NCC
NPI 1881450161
Counselor - Mental Health in Charlottesville, VA

Active since February 26, 2024PECOS Enrolled
102 5TH ST SE # 305, CHARLOTTESVILLE, VA 22902(434) 218-3283 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Cannon Lpc, Ma, Ncc NPPES

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

KELLIE CANNON LPC, MA, NCC (NPI 1881450161) is an individual mental health provider in Charlottesville, Virginia and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881450161
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE CANNONCredential: LPC, MA, NCC
Location Address102 5TH ST SE # 305Charlottesville, VA 22902-5246
Mailing Address102 5th St Se # 305Charlottesville, VA 22902-5246 · (434) 218-3283
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 26, 2024
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1881450161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
102 5TH ST SE # 305, Charlottesville, VA 22902

Secondary Practice Location 1

Location 11553 Bradford Rd Ste 102Virginia Beach, VA 23455-4094 · Phone (757) 453-2144

Accepted 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)

Kellie Cannon Lpc, Ma, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911487285
PECOS Enrollment IDI20260216002779
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.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
102 5TH ST SE # 305
CHARLOTTESVILLE, VA 22902

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 Kellie Cannon's NPI number?

The NPI number for Kellie Cannon is 1881450161. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Kellie Cannon located?

Kellie Cannon practices at 102 5th St SE # 305, Charlottesville, VA 22902. The listed phone number is (434) 218-3283.

What is Kellie Cannon's specialty?

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

Is Kellie Cannon enrolled in Medicare?

Yes. Kellie Cannon is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Cannon accept?

Health plans from Providence Health Plan list Kellie Cannon 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 Kellie Cannon was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.