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

Q: What is Kelsey Cannan's NPI number?

The NPI number for Kelsey Cannan is 1942794151. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Kelsey M Krueger Lmhc.

Q: What is Kelsey Cannan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Cannan was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: September 06, 2026.

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

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About Kelsey Krueger Cannan Lmhc NPPES

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

KELSEY KRUEGER CANNAN LMHC (NPI 1942794151) is an individual mental health provider in Fairport, New York, licensed in New York (010756) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942794151

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELSEY KRUEGER CANNANCredential: LMHC

Location Address21 GENTIAN WAYFairport, NY 14450-9210

Mailing Address21 Gentian WayFairport, NY 14450-9210 · (585) 690-7501

Phone(585) 690-7501

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 20, 2018

Last NPPES UpdateJune 29, 20233 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1942794151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in NY · 010756✔ Licensed in IN · 39004517A

21 GENTIAN WAY, Fairport, NY 14450

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Other Names 1

Professional Name (2)Kelsey M Krueger Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Krueger Cannan Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012489719

PECOS Enrollment IDI20260613000198

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.

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 Kelsey Cannan's NPI number?

The NPI number for Kelsey Cannan is 1942794151. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Kelsey M Krueger Lmhc.

Where is Kelsey Cannan located?

Kelsey Cannan practices at 21 Gentian Way, Fairport, NY 14450. The listed phone number is (585) 690-7501.

What is Kelsey Cannan's specialty?

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

Is Kelsey Cannan enrolled in Medicare?

Yes. Kelsey Cannan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelsey Cannan was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.