Individual provider Active NPI

Kadijah Maria Stepeney

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1689383622
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1804 E 55TH St
Cleveland, OH 44103-3602
Phone
(216) 417-4213
NPI assigned
Nov 17, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1804 E 55TH St
Cleveland, OH 44103-3602

Mailing address

3661 E 59TH St Apt 1
Cleveland, OH 44105-1305
Phone (216) 630-2061

Other identifiers 1

IdentifierTypeStateIssuer
102395868-00MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://my.clevelandclinic.org/locations/directions/240-sports-medicine-center Health Information Exchange (HIE)

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oriana House, Inc. Addiction (Substance Use Disorder) PastSince Nov 20, 2022 Accepting new patients
Oriana House, Inc. PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1689383622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 E 59TH ST APT 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051305",
            "telephone_number": "216-630-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033602",
            "telephone_number": "216-417-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPENEY",
        "first_name": "KADIJAH",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102395868-00",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://my.clevelandclinic.org/locations/directions/240-sports-medicine-center",
            "affiliation": "N",
            "endpointDescription": "Current hospital where records are located",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5555 Transportation Blvd",
            "city": "Garfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441255371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 17, 2022; 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.