Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Calleen Ann Cannon, LCPC

Individual provider Professional Counselor · NPI 1316144819

Calleen Ann Cannon, LCPC is a Mental Health Counselor in Pocatello, Idaho. Qualified in 2006, 20 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2007
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

845 W Center St
Pocatello, ID 83204-4205
Phone: (208) 295-9430
Fax: (208) 213-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 265 E Chubbuck Road, Chubbuck, ID 83202-5055 — (208) 237-1711

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCPC-4273 (ID)

Record details

NPI number1316144819
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJune 28, 2007
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pocatello