Stephanie May Timms, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.164190 Issued in OH

Practice address

920 Boardman Canfield Rd
Boardman, OH 44512-4218

Phone

(330) 259-8813

Fax

(330) 270-2690

NPI assigned

Dec 28, 2017

Last updated

Dec 28, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Path Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Boardman, OH
  • NPI 1124558580
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1679089643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WESTCHESTER DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153901",
            "telephone_number": "330-259-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124218",
            "telephone_number": "330-259-8813",
            "fax_number": "330-270-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMS",
        "first_name": "STEPHANIE",
        "middle_name": "MAY",
        "name_prefix": "Miss",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.164190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lee Thomas, AU.D.
• Regina Helen Thomas
• Katina Thornton, LPN
• Sirikul Ruth Thuniljinda-Rivera, D.C.
• Neha J Tilton, D.O
• Alexa Tkacik, FNP
• Tammy Todd, CRNP
• Lynnette Tomlin
• April Elaine Topfer, PHD
• Kayla Torrence, MOT, OTR/L

• Addiction (Substance Use Disorder) Counselor in Boardman, OH
• Providers in Boardman, 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 Dec 28, 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.