Active NPI
Sarah Rose Ann Stevens, CDCA
- Addiction (Substance Use Disorder) Counselor
- Norwalk, OH
National Provider Identifier
1780100594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 164539
- Practice address
- 34 Woodlawn Ave
Norwalk, OH 44857-2236 - Phone
- (567) 560-3584
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 164539 | OH | Primary |
Addresses
Primary practice location
34 Woodlawn Ave
Norwalk, OH 44857-2236
Mailing address
385 County Road 136
Fremont, OH 43420-9706
Phone (567) 230-4336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276021 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164539 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1780100594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 COUNTY ROAD 136",
"city": "FREMONT",
"state": "OH",
"postal_code": "434209706",
"telephone_number": "567-230-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WOODLAWN AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572236",
"telephone_number": "567-560-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SARAH",
"middle_name": "ROSE ANN",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "164539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276021",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.