Patricia E. Stephens, CDCA #175192

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

175192 Issued in OH

Practice address

Joshua Treatment Center
350 Sirwin Rd
Holland, OH 43528-0301

Phone

(567) 703-9064

Fax

(419) 222-7044

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patty Etue Stephens Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1861165540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BROOKLYNN PARK EAST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-320-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSHUA TREATMENT CENTER",
            "address_2": "350 SIRWIN RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435280301",
            "telephone_number": "567-703-9064",
            "fax_number": "419-222-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "PATRICIA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "CDCA #175192",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "175192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "STEPHENS",
            "middle_name": "ETUE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bobbi Stall
• Star Medical LLC
• Tammyan Metz Starr, PT
• Stat RN Solutions LLC
• Heather Steiner
• Robert Jeffery Stephens, D.D.S.
• Kiley Ann Stevenson-Stalker, PA-C
• Keith Lamar Stroder, CNP
• Michael Christopher Struffolino
• Ashli Marie Stultz

• Addiction (Substance Use Disorder) Counselor in Holland, OH
• Providers in Holland, 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 Jul 28, 2021; 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.