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

Thomas A. Cannon, LCPC

Individual provider Professional Counselor · NPI 1124352083

Thomas A. Cannon, LCPC is a Mental Health Counselor in Portland, Maine. Qualified in 2007, 19 years ago. Practices with Spurwink Services Incorporated, a 84-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
19
Licensed in
ME
In the registry since
2009
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

165 Lancaster St
Portland, ME 04101-2406
Phone: (207) 874-1030
Fax: (207) 874-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC3836 (ME)

Record details

NPI number1124352083
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 25, 2009
Last updated in NPPESApril 20, 2015
Mailing address78 Atlantic Pl, South Portland, ME 04106-2316

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Spurwink Services Incorporated — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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