Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689200453 Individual Practitioner Female Practitioner

Elise M Staab , LCPC, LMHC

Counselor • Clarkston, WA

Professional Overview & Biography Verified Profile Summary

Elise Staab, LCPC, LMHC is a registered healthcare professional specializing in Counselor in Clarkston, WA. Practice services are available at 827 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

827 6th St

Clarkston, WA 994032002

Telephone 2087172288
Fax 2089807055
Associated Practice Facility / Clinic
🏢 Phoenix Counseling Facility NPI 1235895178

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Clarkston, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Clarkston, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2021-05-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License 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

State License ID LPC-7627

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lmhc
LH61120561 (WA)
Commercial Insurance / Payer ID 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

Practice Associates & Co-Workers

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

2 Associated Practitioners
Elizabeth Baker , LPC

Counselor - Mental Health

NPI 1184436933

Licensed Professional Counselor

Julie Phelan

Massage Therapist

NPI 1548985088

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 18, 2021

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

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

Counselor (License #LPC-7627 in ID)

👤
Provider Name / Credentials Updated April 15, 2021

Recorded as ELISE STAAB, LCPC, LMHC

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

Counselor (License #LCPC-8108 in ID)

📍
Updated Practice Location October 08, 2020

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

📍
Updated Business Mailing Address October 08, 2020

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

NPI Profile Active March 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2020

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

📍
Updated Business Mailing Address March 12, 2020

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

👤
Provider Name / Credentials Updated March 12, 2020

Recorded as ELISE STAAB, LPC

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

Counselor (License #LPC-7627 in ID)

🟢
Initial NPI Registration & Enumeration March 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Elise Staab. Be the first to share your experience!

Sign in to leave a review for Elise Staab

Only verified registered users can submit ratings, post feedback, and upload facility photos.

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

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.