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Active NPI 1154631091 Individual Practitioner Female Practitioner

Elyse Nicole Etapa , PCC

Counselor - Professional • North Canton, OH

Professional Overview & Biography Verified Profile Summary

Elyse Etapa, PCC is a registered healthcare professional specializing in Counselor - Professional in North Canton, OH. Practice services are available at 7110 WHIPPLE AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7110 Whipple Ave Nw
Suite C-106

North Canton, OH 447207154

Telephone 3307036578
Fax 3307036578
Associated Practice Facility / Clinic
🏢 Elyse Etapa Llc Facility NPI 1720517956

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in North Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
50 Specialists

Practicing in North Canton, OH (6923 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C0900340

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
57484 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Peyton Choe , MED

Counselor - Mental Health

NPI 1104353200

Master of Education

Danielle Bueno

Counselor - Mental Health

NPI 1184227217
Jamie Lamonica , MA, LPCC

Counselor - Mental Health

NPI 1376215426

Master of Arts, Licensed Professional Clinical Counselor

Julie Thornberry , CT

Counselor - Mental Health

NPI 1427773076
Joan Tiefel

Counselor - Pastoral

NPI 1699320994
Katelyn Mason , LPC

Counselor - Mental Health

NPI 1902309461

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2014

Registered at 7110 WHIPPLE AVE NW, SUITE C-106, NORTH CANTON, OH 447207154 (Tel: 3307036578)

📍
Updated Business Mailing Address June 27, 2014

Registered at 7110 WHIPPLE AVE NW, SUITE C-106, NORTH CANTON, OH 447207154 (Tel: 3307036578)

👤
Provider Name / Credentials Updated June 27, 2014

Recorded as ELYSE ETAPA, P.C.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2014

Counselor (License #C0900340 in OH)

🟢
Initial NPI Registration & Enumeration October 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154631091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2010
Last Update: June 27, 2014
Sole Proprietor: Yes

Mailing Address

7110 Whipple Ave Nw, Suite C-106

North Canton, OH 447207154

Phone: 3307036578

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.