ANNETTE MICHELLE GANNON (NPI# 1548754179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548754179 |
| Entity Type | Individual |
| Full Name | ANNETTE MICHELLE GANNON |
| Practice Address |
6200 Rockside Woods Blvd N Independence OH 44131-2333 |
| Mailing Address |
2218 Alger Rd Lakewood OH 44107-5805 |
| Practice Telephone | 2155251885 |
| Mailing Telephone | 2166456214 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154606275 | Annette Gannon | Occupational Therapy Assistant | 4925 Merrick Rd, Massapequa, NY 11758-6201 | 2011-10-20 |
| Street Address |
6200 ROCKSIDE WOODS BLVD N |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941553 | Justin Hernandez | Counselor | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2009-11-04 |
| 1215495825 | Kris Lennon | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2019-03-04 |
| 1679031280 | Lamont Rashawn Judge Sr. | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2019-03-04 |
| 1609359751 | Lauren Spector | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2018-09-13 |
| 1346720828 | Ronnie R Kramer | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2018-08-15 |
| 1417440330 | Lisa Curran | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2018-06-14 |
| 1548762040 | Erin Cardis | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2018-03-01 |
| 1619483682 | Darice Clayton | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131-2333 | 2017-12-28 |
| 1568977718 | Christopher Thomas Allen | Social Worker | 6200 Rockside Woods Blvd N, Independence, OH 44131 | 2017-12-11 |
| 1487191656 | Ohio Mentor, Inc | Foster Care Agency | 6200 Rockside Woods Blvd N, Suite 305, Independence, OH 44131-2333 | 2017-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496406 | Cheryl Lee Mann | Counselor | 11004 E 40 Hwy, #139, Independence, MO 64055-6023 | 2005-09-09 |
| 1114544731 | Amanda Groves | Counselor | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2020-06-30 |
| 1235613845 | Hank John Jontony | Counselor | 6200 Rockside Woods Blvd N Ste 310, Independence, OH 44131-2343 | 2018-09-19 |
| 1043713662 | Colleen Mcquaide | Counselor | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2018-03-09 |
| 1033623194 | Luke Roy Allen | Counselor | 15814 E 24 Hwy, Independence, MO 64050-2015 | 2017-11-28 |
| 1356862106 | Kimberly Ann Puskar | Counselor | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2017-07-02 |
| 1821453994 | Mark Newlon | Counselor | 150 E Kansas Ave, Independence, MO 64050-3916 | 2015-12-16 |
| 1386041747 | Rachel Gatts | Counselor | 4200 Little Blue Pkwy, Suite 360, Independence, MO 64057-8312 | 2014-12-01 |
| 1144638396 | Eppalonian Isaac | Counselor | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2014-07-31 |
| 1508110628 | Wubbenhorst & Wubbenhorst, Inc | Counselor | 12600 E 40 Hwy, Suite 101, Independence, MO 64055-5955 | 2012-10-29 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.