Individual provider Active NPI

Douglas Kevin Stevens, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1013474824
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024355 Issued in OH
Practice address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone
(330) 445-2677
Fax
(330) 455-2101
NPI assigned
Feb 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.024355 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024355 OH Primary

Addresses

Primary practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other practice location 1

130 1st St NW
Massillon, OH 44647-5452
Phone (330) 833-0234

Other practice location 2

601 Cleveland Ave NW
Canton, OH 44702-1836
Phone (330) 453-8252

Other practice location 3

1207 W State St Ste M
Alliance, OH 44601-4686
Phone (330) 821-8407

Other practice location 4

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 830-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425001317 OH Practitioner - Nurse Practitioner 8325022957 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commquest Services, Inc.Group PAC ID 9335110824, 22 clinicians
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

1207 W State St
Suite M
Alliance, OH 44601-4686
Phone (330) 821-8407

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024355OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Outreach Clinic LTD CurrentSince Feb 14, 2024 Accepting new patients
Commquest Services, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Sep 12, 2022 Accepting new patients
Commquest Services, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Sep 12, 2022 Accepting new patients

Locations

1207 W State St
Ste M
Alliance, OH 44601
Phone (330) 821-1995

601 Cleveland Ave NW
Canton, OH 44702
Phone (330) 453-8252

625 Cleveland Ave NW
Canton, OH 44702
Phone (330) 445-2677

1711 Spring Ave NE
Canton, OH 44714
Phone (330) 454-6800

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

130 1st St NW
Massillon, OH 44647
Phone (330) 833-0234

1680 Nave Rd SE
Fl 3
Massillon, OH 44646

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1013474824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-445-2677",
            "fax_number": "330-455-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446475452",
            "country_code": "US",
            "telephone_number": "330-833-0234",
            "fax_number": "330-837-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021836",
            "country_code": "US",
            "telephone_number": "330-453-8252",
            "fax_number": "330-452-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 W State St Ste M",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014686",
            "country_code": "US",
            "telephone_number": "330-821-8407",
            "fax_number": "330-821-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-830-3393",
            "fax_number": "234-521-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DOUGLAS",
        "middle_name": "KEVIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.