Christle Marie Stephens, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.175400 Issued in OH

Practice address

718 Graham Rd
Cuyahoga Falls, OH 44221-1041

Phone

(330) 615-7355

Fax

(734) 758-0784

NPI assigned

Apr 24, 2020

Last updated

Sep 22, 2022By 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

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

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.

• The Light Center Recovery LLC

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

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1891315362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MARKET ST W",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446141019",
            "telephone_number": "330-439-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211041",
            "telephone_number": "330-615-7355",
            "fax_number": "734-758-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Wertz Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447084171",
            "country_code": "US",
            "telephone_number": "330-754-6511",
            "fax_number": "734-758-0784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CHRISTLE",
        "middle_name": "MARIE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A. Stefan, DDS
• Daniel L Steidl, MD
• Terra Steiner
• Stephen J Francis, MD, Inc.
• Stephen T. Fabry D.D.S. Inc. (Falls Family Dental)
• Zachary Stepp, DNP, CRNA, APRN
• Samantha Sternad, COTA/L
• Angela Marie Stetler, PA-C
• Steven a Richman MD LLC
• Lauren C Stevens, LPC

• Addiction (Substance Use Disorder) Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, 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 Sep 22, 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.