Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jesse Yanke , LPC

Counselor - Professional β€’ Canton, OH

Active NPI 1699348078 Individual Practitioner Male Practitioner
Practice location in NPPES

4522 Fulton Dr Nw
Canton, OH 447182332

Call 3309152907 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Fax 3309152958
Organization at the Same NPPES Address or Phone
Wellness Grove, Llc Facility NPI 1043899859

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

312 active clinicians are listed under Counselor - Professional with a practice address in Canton, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

2.9% of these 312 clinicians have the CMS telehealth indicator.

12.8% of these 312 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2204661
Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH C.2204661

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0455468 (OH)

Secondary Practice Locations

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Gina Bowers , LISW-S

Social Worker - Clinical

NPI 1942750666

LISWS

Pamela Ebert , LPCC-S

Counselor - Mental Health

NPI 1467711580

LPCCS

Kellie King Feciuch , LPCC-S

Counselor - Mental Health

NPI 1609148824

LPCCS

Madeline Skemp , LPCC-S

Counselor - Mental Health

NPI 1427509900

LPCCS

Paige Wallace , LPCC-S, CCATP

Counselor - Mental Health

NPI 1376157115

LPCCS, CCATP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Business Mailing Address October 26, 2024

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ‘€
Provider Name / Credentials Updated October 26, 2024

Recorded as JESSE YANKE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2024

Counselor (license number reported to NPPES: OH C.2204661)

πŸ“
Updated Practice Location July 17, 2023

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ“
Updated Business Mailing Address July 17, 2023

Registered at 4200 MUNSON ST NW STE A, CANTON, OH 447182981 (Tel: 3309152907)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2023

Counselor (license number reported to NPPES: OH C.2204661)

βœ…
NPI Profile Active July 22, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 22, 2021

Registered at 204 2ND ST NE, NEW PHILADELPHIA, OH 446632808 (Tel: 2348012469)

πŸ“
Business Mailing Address (Initial Record) July 22, 2021

Registered at 120 BYERS AVE, AKRON, OH 443021341 (Tel: 3305540899)

πŸ‘€
Provider Name / Credentials (Initial Record) July 22, 2021

Recorded as JESSE YANKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2021

Counselor

🟒
Initial NPI Registration & Enumeration July 22, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1699348078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2021
Last Update: October 26, 2024
Sole Proprietor: Yes

Mailing Address

4522 Fulton Dr Nw

Canton, OH 447182332

Phone: 3309152907

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.