The Stevens Center, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13995 Issued in OH

Legal business name

THE STEVENS CENTER, LLC

Practice address

11925 Pearl Rd
Suite 102
Strongsville, OH 44136-3353

Phone

(440) 554-0670

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Jaramillo, LICDC-CS, LSW, SAP

Title

Clinical Supervisor

Phone

(440) 829-6281

Specialties & licenses 1

Addresses

Other names 1

• The Stevens Center Doing business as

Locations

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1972051647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "SUITE 102",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363353",
            "telephone_number": "440-554-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD",
            "address_2": "SUITE 102",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363353",
            "telephone_number": "440-554-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STEVENS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "440-829-6281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICDC-CS, LSW, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "13995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Stevens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Strongsville, OH
• Providers in Strongsville, 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 12, 2016; 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.