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Elise M Staab , LCPC, LMHC

Counselor β€’ Clarkston, WA

Active NPI 1689200453 Individual Practitioner Female Practitioner
Practice location in NPPES

827 6th St
Clarkston, WA 994032002

Call 2087172288 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

827 6th St

Clarkston, WA 994032002

Telephone 2087172288
Fax 2089807055
Organization at the Same NPPES Address or Phone
Phoenix Counseling Facility NPI 1235895178

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 2 distinct additional practice-address records in Clarkston, WA; Lewiston, ID. 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

2020

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 Clarkston and Washington

30 active clinicians are listed under Counselor with a practice address in Clarkston, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clarkston

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 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: 2021-05-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES ID LCPC-8108

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES ID LPC-7627
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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Lmhc
LH61120561 (WA)
Other Identifier Lcpc
LCPC-8108 (ID)

Secondary Practice Locations

303 Bridge St Ste C

Clarkston, WA 994032921

Phone: 5092545053

301 Main St Ste 204

Lewiston, ID 835011819

Phone: 2087172288

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location May 18, 2021

Registered at 827 6TH ST, CLARKSTON, WA 994032002 (Tel: 2087172288)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Counselor (license number reported to NPPES: ID LPC-7627)

πŸ‘€
Provider Name / Credentials Updated April 15, 2021

Recorded as ELISE STAAB, LCPC, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2021

Counselor (license number reported to NPPES: ID LCPC-8108)

πŸ“
Updated Practice Location October 08, 2020

Registered at 301 MAIN ST STE 204, LEWISTON, ID 835011819 (Tel: 2087172288)

πŸ“
Updated Business Mailing Address October 08, 2020

Registered at 2654 27TH ST, CLARKSTON, WA 994031698 (Tel: 5092951861)

βœ…
NPI Profile Active March 12, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 12, 2020

Registered at 523 1/2 MAIN ST STE 7, LEWISTON, ID 835011870 (Tel: 2087172288)

πŸ“
Business Mailing Address (Initial Record) March 12, 2020

Registered at 523 1/2 MAIN ST STE 7, LEWISTON, ID 835011870 (Tel: 2087172288)

πŸ‘€
Provider Name / Credentials (Initial Record) March 12, 2020

Recorded as ELISE STAAB, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2020

Counselor (license number reported to NPPES: ID LPC-7627)

🟒
Initial NPI Registration & Enumeration March 12, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689200453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2020
Last Update: May 18, 2021
Sole Proprietor: Yes

Mailing Address

2654 27th St

Clarkston, WA 994031698

Phone: 5092951861

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.