IndividualActive
Requisha Cannon
NPI 1184482911 · Mental Health Counselor · Watertown, NY
Requisha Cannon is a Mental Health Counselor provider in Watertown, NY (NPI 1184482911).
Provider details
- NPI number
- 1184482911
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 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
2 documented practice locations
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
250 Arsenal St Ste 2
Watertown, NY 13601-2589
Phone: (315) 782-9030
Street-level locationGet directions
Mailing address
1704 State St
Watertown, NY 13601-3102
Additional practice locations (1)
- 211 Jb Wise PlWatertown, NY 13601-2507Phone: (315) 782-7445
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Requisha Cannon's NPI number?
- Requisha Cannon's National Provider Identifier (NPI) is 1184482911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Requisha Cannon's specialty?
- Requisha Cannon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Requisha Cannon located?
- Requisha Cannon's practice location on file with NPPES is 250 Arsenal St Ste 2, Watertown, NY 13601-2589.
- What is Requisha Cannon's phone number?
- The practice phone number listed in the NPPES registry for Requisha Cannon is (315) 782-9030.
- Is Requisha Cannon's NPI active?
- Yes — Requisha Cannon's NPI (1184482911) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.