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

MS. Mary Sprowl Cannon, MA, LMFT

Individual provider Marriage & Family Therapist · NPI 1053600825

MS. Mary Sprowl Cannon, MA, LMFT is a Marriage and Family Therapist in San Jose, California. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1101 S Winchester Blvd Ste A101
San Jose, CA 95128-3901
Phone: (408) 859-4983
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC40685 (CA)

Record details

NPI number1053600825
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LMFT
Sole proprietorYes
NPI enumeratedApril 1, 2011
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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