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JOHN C CANNON
NPI 1922858323
Social Worker - Clinical in Memphis, TN

Active since March 26, 2024
1455 POPLAR AVE, MEMPHIS, TN 38104(901) 462-4747(901) 276-0225 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John C Cannon NPPES

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

JOHN C CANNON (NPI 1922858323) is a healthcare organization registered as a clinical in Memphis, Tennessee and active in the NPI registry since March 2024. The organization lists John Clark Cannon, Ceo/therapist, as its authorized official.

NPPES Registry Identity

NPI1922858323
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOTERIA COUNSELING PLLC
Location Address1455 POPLAR AVEMemphis, TN 38104-2934
Mailing Address5516 Heritage Lake CoveMemphis, TN 38109 · (901) 605-0768
Phone(901) 462-4747
Fax(901) 276-0225
Organization SubpartNo
Authorized OfficialJohn Clark CannonCeo/therapist · (901) 462-4747
Enumeration DateMarch 26, 2024
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1922858323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1455 POPLAR AVE, Memphis, TN 38104
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Other Names 1

Doing Business AsJohn C Cannon

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John C Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John C Cannon, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Cannon, LMSW
Clinical Social Worker
NPI 1568584514
1030 JEFFERSON AVE
Memphis, TN 38104
(901) 523-8990
✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soteria Counseling PLLC's NPI number?

The NPI number for Soteria Counseling PLLC is 1922858323. It was assigned to this organization in the NPPES registry on March 26, 2024. The provider is doing business as John C Cannon.

Where is Soteria Counseling PLLC located?

Soteria Counseling PLLC is located at 1455 Poplar Ave, Memphis, TN 38104. The listed phone number is (901) 462-4747.

What is Soteria Counseling PLLC's specialty?

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

Is Soteria Counseling PLLC enrolled in Medicare?

Yes. Soteria Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soteria Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Soteria Counseling PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soteria Counseling PLLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.