Noura Al-Khafif, LPC
Individual provider Active NPI Professional Counselor · Canton, OH
NPI 1922672195 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1922672195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C.2507545 (OH)
- Practice address
- 4522 Fulton Dr NW
Canton, OH 44718-2332 - Phone
- (330) 915-2907
- Fax
- (330) 915-2958
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4522 Fulton Dr NW
Canton, OH 44718-2332
4522 Fulton Rd
Canton, OH 44718
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2507545 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Grove LLC | Current |
Accepting new patients | |
| Wellness Grove, LLC | Counselor | Current |
Accepting new patients |
Locations
4200 Munson St NW
Ste A
Canton, OH 44718
Phone (330) 915-2907
4522 Fulton Dr NW
Canton, OH 44718
Phone (330) 915-2907
5611 Hudson Dr
Ste 400
Hudson, OH 44236
Phone (330) 915-2907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2406204-TRNE | OH | |
| Professional Counselor | 101YP2500X | C.2507545 | OH | Yes |
Addresses
Primary practice location
4522 Fulton Dr NW
Canton, OH 44718-2332
Mailing address
4522 Fulton Dr NW
Canton, OH 44718-2332
Phone (330) 915-2907
Other practice location 1
5611 Hudson Dr Ste 400
Hudson, OH 44236-4452
Phone (330) 915-2907
Other practice location 2
4200 Munson St NW Ste A
Canton, OH 44718-2981
Phone (330) 915-2907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123003 | Medicaid | OH |
Other providers in Canton, OH
- Kayla N Akin
- Joanna Temitope Akinlosotu
- Akron General Medical Center
- Badie Al Nemr
- Rabiee Al Nemr
- Rahimah Al-Saffat
- Alan B Schlesinger DDS LLC
- Alan Mobility Inc
- Mohana Vamsi Alapati
- Sabina Alasti-Ward
All providers in Canton, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.