STEPHANIE LYNN CANTERBURY CADC
NPI 1114417334
Counselor - Addiction (Substance Use Disorder) in Bainbridge, OH

Q: What is Stephanie Canterbury's NPI number?

The NPI number for Stephanie Canterbury is 1114417334. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Q: What is Stephanie Canterbury's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since May 14, 2018PECOS Enrolled

1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612(740) 634-3094 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2020, May 14, 2018 (2 updates tracked since 2018).

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About Stephanie Lynn Canterbury Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LYNN CANTERBURY CADC (NPI 1114417334) is an individual addiction (substance use disorder) provider in Bainbridge, Ohio, licensed in Michigan (2-01594) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114417334

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSTEPHANIE LYNN CANTERBURYCredential: CADC

Location Address1071 TONG HOLLOW RDBainbridge, OH 45612-1500

Mailing Address25762 Bridgewood Ln Apt 52Brownstown, MI 48134-1040 · (740) 336-9344

Phone(740) 634-3094

Sole ProprietorNo

Enumeration DateMay 14, 2018

Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration

✔ NPI 1114417334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in MI · 2-01594✔ Licensed in OH · LCDCIII.161537

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1071 TONG HOLLOW RD, Bainbridge, OH 45612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lynn Canterbury Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Canterbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

945 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Michigan enrollment
411 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH KUHNS

Case Manager/Care Coordinator