Michael Ross Stevenson, SUDCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14225 Issued in CA

Practice address

11540 Marsh Creek Rd
Clayton, CA 94517-9759

Phone

(925) 672-5700

Fax

(925) 672-1374

NPI assigned

Nov 17, 2022

Last updated

May 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bi-Bett

  • Community/Behavioral Health Agency
  • Clayton, CA
  • NPI 1235334673
  NPD
• Bi Bett Corporation

  dba Diablo Valley Ranch

  • Substance Abuse Rehabilitation Facility
  • Clayton, CA
  • NPI 1588869853
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1043929193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179759",
            "telephone_number": "925-672-5700",
            "fax_number": "925-672-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179759",
            "telephone_number": "925-672-5700",
            "fax_number": "925-672-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "MICHAEL",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "SUDCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADTP SUDCC",
            "identifier": "14225",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dvr@bibett.org",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WEB",
            "address_1": "11540 Marsh Creek Rd",
            "city": "Clayton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945179759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Clayton, CA
• Providers in Clayton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.