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

MS. Clarissa Breanne Sourada Cannon, MA, LPC, NCC

Individual provider Counselor · NPI 1538806096

MS. Clarissa Breanne Sourada Cannon, MA, LPC, NCC is a Mental Health Counselor in Galveston, Texas. Qualified in 2019, 7 years ago. Practices with Geode Health of Texas, PLLC, a 149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

820 16th St
Galveston, TX 77550-4960
Phone: (760) 504-3099
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

Counselor (primary) Taxonomy 101Y00000X · Licence 82764 (TX)

Record details

NPI number1538806096
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , NCC
Sole proprietorYes
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Geode Health Of Texas, Pllc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Galveston