Active NPI
Katelyn Decosta, LPC
- Professional Counselor
- Canton, OH
National Provider Identifier
1922577709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2608427
- Practice address
- 3751 Burrshire Dr NW
Canton, OH 44709-2229 - Phone
- (330) 413-0869
- NPI assigned
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2608427 | OH | Primary |
Addresses
Primary practice location
3751 Burrshire Dr NW
Canton, OH 44709-2229
Mailing address
123 Byers Ave
Akron, OH 44302-1339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1922577709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BYERS AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443021339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 BURRSHIRE DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447092229",
"telephone_number": "330-413-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOSTA",
"first_name": "KATELYN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2608427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.