MR. EDWARD GAHAM CANADA III LPC
NPI 1952877995
Counselor - Mental Health in Glen Allen, VA

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
4191 INNSLAKE DR STE 211, GLEN ALLEN, VA 23060(804) 303-9622 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Oct 17, 2018 (2 updates tracked since 2018).

About Mr. Edward Gaham Canada Iii Lpc NPPES

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

MR. EDWARD GAHAM CANADA III LPC (NPI 1952877995) is an individual mental health provider in Glen Allen, Virginia, licensed in Virginia (0701007956) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1952877995
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD GAHAM CANADA IIICredential: LPC
Location Address4191 INNSLAKE DR STE 211Glen Allen, VA 23060-3324
Mailing Address4191 Innslake Dr Ste 211Glen Allen, VA 23060-3324 · (804) 303-9622
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 17, 2018
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1952877995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701007956
4191 INNSLAKE DR STE 211, Glen Allen, VA 23060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edward Gaham Canada Iii Lpc 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 ID9032552310
PECOS Enrollment IDI20240205001116
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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Canada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
4191 INNSLAKE DR STE 211
Glen Allen, VA 23060
  • Reassigned Medicare billing, Virginia enrollment
  • 50 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Psychiatric/Mental Health)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Counselor (Mental Health)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Social Worker (Clinical)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Clinic/Center (Multi-Specialty)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Social Worker (Clinical)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Social Worker (Clinical)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Nurse Practitioner (Psychiatric/Mental Health)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060
Social Worker (Clinical)
4191 INNSLAKE DR STE 211
GLEN ALLEN, VA 23060

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 Edward Canada's NPI number?

The NPI number for Edward Canada is 1952877995. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Edward Canada located?

Edward Canada practices at 4191 Innslake Dr Ste 211, Glen Allen, VA 23060. The listed phone number is (804) 303-9622.

What is Edward Canada's specialty?

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

Is Edward Canada enrolled in Medicare?

Yes. Edward Canada 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.

Which organization bills Medicare for Edward Canada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Canada reassigns Medicare benefits to Zoe Therapy Services, LLC (Glen Allen, VA). The 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 Edward Canada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Canada accept?

Health plans from Oscar Health list Edward Canada 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 Edward Canada was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.