Individual provider Active NPI

Stephanie K Thomas, CPRS

  • Peer Specialist
  • Cleveland, OH
National Provider Identifier
1992596761
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.006167 Issued in OH
Practice address
4843 Wendell Ave
Cleveland, OH 44127-1167
Phone
(440) 552-4442
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1801415 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.182348 OH
Professional Counselor 101YP2500X APS.006167 OH
Social Worker 104100000X S.0027920 OH
Peer Specialist 175T00000X APS.006167 OH Primary

Addresses

Primary practice location

4843 Wendell Ave
Cleveland, OH 44127-1167

Mailing address

4843 Wendell Ave
Cleveland, OH 44127-1167
Phone (440) 552-4442

Other practice location 1

3278 West Blvd
Cleveland, OH 44111-2824
Phone (440) 552-4442

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

LicenseStateTypeSpecialty
C.1801415OHMDCounselor
CDCA.182348OHMDAddiction (Substance Use Disorder) Counselor
S.0027920OHMDSocial Worker
APS.006167OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelter the People Cleveland Counselor CurrentSince May 18, 2025 Accepting new patients

Locations

4843 Wendell Ave
Cleveland, OH 44127
Phone (216) 236-8755

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1992596761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 WENDELL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271167",
            "telephone_number": "440-552-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 WENDELL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271167",
            "telephone_number": "440-552-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3278 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441112824",
            "country_code": "US",
            "telephone_number": "440-552-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1801415",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.182348",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "APS.006167",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0027920",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 2, 2025; 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.