Organization Active NPI

Stepping Stone Center for Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Jacksonville, FL
National Provider Identifier
1508922931
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0416AD910500 Issued in FL
Legal business name
STEPPING STONE CENTER FOR RECOVERY, LLC
Practice address
1815 Corporate Square Blvd
Jacksonville, FL 32216-0325
Phone
(904) 446-1041
Fax
(904) 855-4364
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Donna A Campbell
Title
Director Billing/Collections
Phone
(954) 691-0856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0416AD910500 FL Primary

Addresses

Primary practice location

1815 Corporate Square Blvd
Jacksonville, FL 32216-0325

Mailing address

1815 Corporate Square Blvd
Jacksonville, FL 32216-0325
Phone (904) 446-1041

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
10D1051965Stepping Stone Center for Recovery LLC1815 Corporate Square Blvd, Jacksonville, FL 32216Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

1815 Corporate Square Blvd
Jacksonville, FL 32216
Phone (904) 446-1041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1508922931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CORPORATE SQUARE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160325",
            "telephone_number": "904-446-1041",
            "fax_number": "954-491-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CORPORATE SQUARE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160325",
            "telephone_number": "904-446-1041",
            "fax_number": "904-855-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE CENTER FOR RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR BILLING/COLLECTIONS",
        "authorized_official_telephone_number": "954-691-0856"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0416AD910500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.