Active NPI
Cezar Deon Stewart, LICDC.163053
- Addiction (Substance Use Disorder) Counselor
- Copley, OH
National Provider Identifier
1558027342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.163053
- Practice address
- 155 Montrose West Ave
Copley, OH 44321-3121 - Phone
- (330) 933-4649
- NPI assigned
- Nov 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.163053 | OH | Primary |
Addresses
Primary practice location
155 Montrose West Ave
Copley, OH 44321-3121
Mailing address
2643 Elmwood St
Cuyahoga Falls, OH 44221-2608
Phone (330) 705-3844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008762 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCII.161795 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Light Center Recovery LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Cuyahoga Falls, OH
- NPI 1124652649
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1558027342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 ELMWOOD ST",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442212608",
"telephone_number": "330-705-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MONTROSE WEST AVE",
"city": "COPLEY",
"state": "OH",
"postal_code": "443213121",
"telephone_number": "330-933-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CEZAR",
"middle_name": "DEON",
"credential": "LICDC.163053",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-16",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.163053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008762",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.