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Active NPI 1194791897 Individual Practitioner Female Practitioner

Sandra Kay Cannon , LPC

Counselor - Professional • Ft Campbell, KY

Professional Overview & Biography Verified Profile Summary

Sandra Cannon, LPC is a registered healthcare professional specializing in Counselor - Professional in Ft Campbell, KY. Practice services are available at BLANCHFIELD ARMY COMMUNITY HOSPITAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Blanchfield Army Community Hospital
650 Joel Drive

Ft Campbell, KY 422235349

Telephone 2707988372
Fax 2709560180

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ft Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Ft Campbell, KY (2199 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178001121

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Vivian Fivecoat

Registered Nurse - Emergency

NPI 1003874579
Patricia Gazza

Social Worker - Clinical

NPI 1013053990
Dr. Eric Berg , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013983543

Doctor of Medicine (M.D.)

NPI 1023077724

Doctor of Medicine (M.D.)

Walter Herrmann , MA

Counselor - Mental Health

NPI 1023084506

Master of Arts

Douglas Henry

Pediatrics

NPI 1033185806

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2012

Registered at BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FT CAMPBELL, KY 422235349 (Tel: 2707988372)

📍
Updated Business Mailing Address February 01, 2012

Registered at BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FT CAMPBELL, KY 422235349 (Tel: 2707988372)

👤
Provider Name / Credentials Updated February 01, 2012

Recorded as SANDRA CANNON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Counselor (License #178001121 in IL)

🟢
Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194791897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: February 01, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Blanchfield Army Community Hospital, 650 Joel Drive

Ft Campbell, KY 422235349

Phone: 2707988372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.