92 Reasons
NPI 1275142739ActiveOrganization· Community/Behavioral Health· Denton, TX
Community/Behavioral Health in Denton, Texas, registered in NPPES in July 2020, part of Soda Cannon LLC. The authorized official on file is Sophia Cannon, MCRC, CRC, LPC, Directr Of Clinical Services.
Overview
| NPI | 1275142739 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Soda Cannon LLC. |
| NPI issued | Jul 30, 2020 |
| Last updated in NPPES | Jul 30, 2020 |
| Certified by provider | Jul 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 23 Community/Behavioral Health providers in Denton · All Community/Behavioral Health providers in Texas