P Praxis·MD
● Active Type 1 · Individual

Calleen Ann Cannon, LCPC

Counselor·Pocatello, ID· NPI 1316144819 · Enumerated 2007 · 18 years on NPI
Cannon is 1 of 67 counselor providers in Pocatello and 1 of 1313 in Idaho.
NPI age
18 years
Enumerated 2007-06-28
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
845 W Center St
Pocatello, ID 832044205
📞 2082959430fax 2082135765
Mailing address
845 W Center St
Pocatello, ID 832044205
📞 2082959430fax 2082135765

Additional practice locations

1 secondary location on file with NPPES.

Location 2
265 E Chubbuck Road
Chubbuck, ID 832025055
📞 2082371711fax 2082379806

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-4273 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Pocatello in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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