KELSEY KRUEGER CANNAN LMHC
NPI 1942794151
Counselor - Mental Health in Fairport, NY

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
21 GENTIAN WAY, FAIRPORT, NY 14450(585) 690-7501 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2023, Mar 8, 2022, Jun 20, 2018 (3 updates tracked since 2018).

  • Individual
  • Female
  • Years of Experience 12
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELSEY CANNAN

This page provides the complete NPI Profile along with additional information for Kelsey Cannan, a provider established in Fairport, New York with a medical specialization in Counselor, focusing in mental health and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1942794151 assigned on June 2018. The practitioner's primary taxonomy code is 101YM0800X with license number 010756 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1942794151 Verify this NPI
Provider Name
KELSEY KRUEGER CANNAN LMHC
Other Name
KELSEY M KRUEGER LMHC
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
21 GENTIAN WAY FAIRPORT, NY 14450
Location Phone
(585) 690-7501
Mailing Address
21 GENTIAN WAY FAIRPORT, NY 14450
Mailing Phone
(585) 690-7501
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
Yes
Enumeration Date
06-20-2018
Last Update Date
06-29-2023
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A mental health counselor like Kelsey Cannan provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
010756
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

39004517A (IN)

Medicare Participation & PECOS Enrollment Status

Kelsey Cannan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelsey Cannan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012489719

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260613000198

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for KELSEY KRUEGER CANNAN LMHC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942794151, enumerated as an "individual" on June 20, 2018.

The provider is located at 21 GENTIAN WAY FAIRPORT, NY 14450 and the phone number is (585) 690-7501.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.