IndividualActive
Cannon Braveheart
NPI 1013758093 · Counselor · Harrisville, UT
Cannon Braveheart is a Counselor provider in Harrisville, UT (NPI 1013758093).
Provider details
- NPI number
- 1013758093
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Phone: (877) 393-6232
Street-level locationGet directions
Mailing address
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2026-04-26
- Certified
- 2024-06-04
Frequently asked questions
- What is Cannon Braveheart's NPI number?
- Cannon Braveheart's National Provider Identifier (NPI) is 1013758093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cannon Braveheart's specialty?
- Cannon Braveheart is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Cannon Braveheart located?
- Cannon Braveheart's practice location on file with NPPES is 2240 N Hwy 89 Ste C, Harrisville, UT 84404-2824.
- What is Cannon Braveheart's phone number?
- The practice phone number listed in the NPPES registry for Cannon Braveheart is (877) 393-6232.
- Is Cannon Braveheart's NPI active?
- Yes — Cannon Braveheart's NPI (1013758093) is active in the NPPES registry as of the last update on 2026-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.