Joan Tiefel

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

4119 Whipple Ave NW Ste B
Canton, OH 44718-4801

Phone

(330) 703-6578

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elyse Etapa LLC

  • Mental Health Counselor
  • Canton, OH
  • NPI 1720517956
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1699320994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 WHIPPLE AVE NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184801",
            "telephone_number": "330-703-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 WHIPPLE AVE NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184801",
            "telephone_number": "330-703-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEFEL",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse@thrivecounselingohio.com",
            "affiliation": "N",
            "address_1": "4119 Whipple Ave NW Ste B",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447184801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thrive Services, Inc.
• Sherin Ilene Thurman, APRN-CNP
• Flanda Tibbs
• Anna Marie Tice, PTA
• Maria Tickle
• Diana Jessie Tieger, PSYD
• Larissa Marie Tilley, D.C.
• Michele L Tilstra, OT
• Elizabeth Marie Timmers, MSW, LSW
• Jamie Timms, CT

• Pastoral Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Pastoral Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.