Jill L Stevenson, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.120032 Issued in OH

Practice address

2801 C CT Unit 1
Ashtabula, OH 44004-4578

Phone

(440) 998-0722

Fax

(440) 992-1699

NPI assigned

Jul 18, 2017

Sex

Female

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lake Area Recovery Center

  • Case Management Agency
  • Ashtabula, OH
  • NPI 1649332438
  NPD
• The Light Center Recovery LLC

  • Community/Behavioral Health Agency
  • Cuyahoga Falls, OH
  • NPI 1124652649

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1669995072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E 5TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043502",
            "telephone_number": "440-228-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 C CT UNIT 1",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044578",
            "telephone_number": "440-998-0722",
            "fax_number": "440-992-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.120032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278809",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrine Rose Stephens
• Katelyn Marie Stevens
• Shannon Elizabeth Stevens
• Wendy Stevens
• Erika Maria Stevenson
• Tracy Stevenson
• Caroline Elizabeth Stipkovich, PT, DPT
• Patrick Stocker, MSN CRNA
• Korey Stoneman
• Mattie E Stowell, DDS

• Addiction (Substance Use Disorder) Counselor in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.