Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC in Galveston, TX

Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC is a medicare enrolled "Counselor" provider in Galveston, Texas. Her current practice location is 820 16th St, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at (760) 504-3099.

Ms Clarissa Breanne Sourada Cannon is licensed to practice in Texas (license number 82764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538806096.

Contact Information

	Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC
	820 16th St, Galveston, TX 77550-4960
	(760) 504-3099
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Clarissa Breanne Sourada Cannon
Gender	Female
Speciality	Counselor
Location	820 16th St, Galveston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538806096
Provider Enumeration Date: 05/17/2022
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4981045994
Enrollment ID: I20240508001960

Medical Identifiers

Medical identifiers for Ms Clarissa Breanne Sourada Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538806096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	82764 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Clarissa Breanne Sourada Cannon allows following entities to bill medicare on her behalf.

Entity Name	The Resilience Center Of Houston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821475039 PECOS PAC ID: 6305131517 Enrollment ID: O20160827000029

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Clarissa Breanne Sourada Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC 820 16th St, Galveston, TX 77550-4960 Ph: (760) 504-3099	Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC 820 16th St, Galveston, TX 77550-4960 Ph: (760) 504-3099

Reviews and Comments

Counselor in Galveston, TX

Mrs. Justine E Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Market St Ste 600, Galveston, TX 77550 Phone: 409-762-8636
Sarah Wind, MS-LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Rosenberg St Ste 6, Galveston, TX 77550 Phone: 409-762-2373
Dr. Mary Eleanore O'keefe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5220 Seawall Blvd Apt 431, Galveston, TX 77551 Phone: 713-553-7265
Mr. Christopher S Times, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 Market St, Galveston, TX 77550 Phone: 409-761-0076
Cecily Grasso Whatley, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6501 Golf Crest Dr, Galveston, TX 77551 Phone: 409-457-0120
Carol Kerr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Market St, Suite 600, Galveston, TX 77550 Phone: 409-762-8636 Fax: 409-762-4185
Caroline Ashlie Gaddis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Market St Ste 600, Galveston, TX 77550 Phone: 409-762-8636 Fax: 409-938-4849

Ms Clarissa Breanne Sourada Cannon, MA, LPC,NCC - Medicare Counselor in Galveston, TX