Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Cannon, LPC, MA, NCC

Individual provider Mental Health Counselor · NPI 1881450161

Kellie Cannon, LPC, MA, NCC is a Mental Health Counselor in Charlottesville, Virginia. Qualified in 2022, 4 years ago. Works from 2 locations.

Years since qualifying
4
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

102 5th St SE # 305
Charlottesville, VA 22902-5246
Phone: (434) 218-3283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1553 Bradford Rd Ste 102, Virginia Beach, VA 23455-4094 — (757) 453-2144

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1881450161
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , MA , NCC
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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