NPIMap

Organization Active NPI

Steadfast Health Professional Services of Ohio Inc

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1457201956
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
STEADFAST HEALTH PROFESSIONAL SERVICES OF OHIO INC
Practice address
11201 Shaker Blvd Ste 106
Cleveland, OH 44104-3833
Phone
(866) 935-0936
NPI assigned
Feb 2, 2026
Organization subpart
Yes
Parent organization
STEADFAST HEALTH PROFESSIONAL SERVICES OF OHIO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Davis Stephen, MDNPI 1750769154
Title
Coo
Phone
(615) 987-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

11201 Shaker Blvd Ste 106
Cleveland, OH 44104-3833

Mailing address

11201 Shaker Blvd Ste 106
Cleveland, OH 44104-3833
Phone (866) 935-0936

Other practice location 1

6700 Pearl Rd
Parma Heights, OH 44130-3828
Phone (440) 398-4564

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2344431Steadfast Health Professional Services of Ohio6700 Pearl Road, Parma Heights, OH 44130Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Steadfast Health Professional Services of Ohio Inc2 organizations share this tax ID, including this one
Part of
Steadfast Health Professional Services of Ohio Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1457201956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD STE 106",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043833",
            "telephone_number": "866-935-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD STE 106",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043833",
            "telephone_number": "866-935-0936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Parma Heights",
            "state": "OH",
            "postal_code": "441303828",
            "country_code": "US",
            "telephone_number": "440-398-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEADFAST HEALTH PROFESSIONAL SERVICES OF OHIO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEADFAST HEALTH PROFESSIONAL SERVICES OF OHIO INC",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-987-5512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.