Individual provider Active NPI

Stephanie Lee Delaney, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Reynoldsburg, OH
National Provider Identifier
1265947378
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.165077 Issued in OH
Practice address
6434 E Main St Ste 201
Reynoldsburg, OH 43068-7300
Phone
(614) 762-2847
Fax
(614) 762-2984
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.165077 OH Primary

Addresses

Primary practice location

6434 E Main St Ste 201
Reynoldsburg, OH 43068-7300

Mailing address

6434 E Main St Ste 201
Reynoldsburg, OH 43068-7300
Phone (614) 762-2847

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

State licenses

LicenseStateTypeSpecialty
CDCA.165077OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1265947378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "614-762-2847",
            "fax_number": "614-762-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "614-762-2847",
            "fax_number": "614-762-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.