ELISE M STAAB LCPC LMHC NPI 1689200453

NPI Information

NPI: 1689200453
Provider Name: ELISE M STAAB, LCPC, LMHC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
827 6TH ST
CLARKSTON, WA
ZIP 99403
Phone: (208) 717-2288
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Elise M Staab, LCPC, LMHC is a counselor in Clarkston, WA. The provider is 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. Elise M Staab, LCPC, LMHC NPI is 1689200453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

827 6TH ST
CLARKSTON, WA
ZIP 99403-002
Phone: (208) 717-2288
Fax: (208) 980-7055

The enumeration date for this NPI number is 3/12/2020 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC-7627	IDAHO	No
2	101Y00000X	Counselor		LCPC-8108	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LCPC-8108	OTHER	IDAHO	LCPC
2	LH61120561	OTHER	WASHINGTON	LMHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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