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

Mr. Glen T. Cannon, LCPC

Individual provider Clinical Social Worker · NPI 1588749550

Mr. Glen T. Cannon, LCPC is a Mental Health Counselor in Naperville, Illinois. Qualified in 1974, 52 years ago. Practices with Riaz Baber MD SC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
52
Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1460 Bond St Ste 300
Naperville, IL 60563-6503
Phone: (630) 859-0120
Fax: (630) 355-7679
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1588749550
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Riaz Baber Md Sc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Naperville