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MRS. STACY G PAGAN CDCA
NPI 1164990347
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since November 06, 2018
6300 BROOKPARK RD, CLEVELAND, OH 44129(440) 672-6955 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2026, Nov 6, 2018 (2 updates tracked since 2018).

About Mrs. Stacy G Pagan Cdca NPPES

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

MRS. STACY G PAGAN CDCA (NPI 1164990347) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (187255) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1164990347
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. STACY G PAGANCredential: CDCA
Location Address6300 BROOKPARK RDCleveland, OH 44129-1219
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886
Phone(440) 672-6955
Sole ProprietorYes
Enumeration DateNovember 6, 2018
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1164990347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 187255
6300 BROOKPARK RD, Cleveland, OH 44129
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Other Providers at the Same Location NPPES 9

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

JAMESIA FULLUM LPN
Licensed Practical Nurse
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (440) 672-6955
BRITNEY JOHNSON CDCA
Counselor (Addiction (Substance Use Disorder))
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (330) 219-3868
PREMIER CARE OF OHIO, LLC
Clinic/Center (Methadone)
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (440) 672-6955
STEPHANIE LA'SHETTE GREGORY LPN
Licensed Practical Nurse
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (440) 672-6955
NEW SEASON OF OHIO, LP
Clinic/Center (Methadone)
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (407) 351-7080
DIANE ELIZABETH CORRAO RN
Registered Nurse
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (440) 672-6955
PREMIER CARE OF OHIO, LLC
Clinic/Center (Methadone)
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (440) 672-6955
MS. HALLIE MORGAN ANDERSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
6300 BROOKPARK RD
CLEVELAND, OH 44129
Cuyahoga County (404) 672-6955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Pagan's NPI number?

The NPI number for Stacy Pagan is 1164990347. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Stacy Pagan located?

Stacy Pagan practices at 6300 Brookpark Rd, Cleveland, OH 44129. The listed phone number is (440) 672-6955.

What is Stacy Pagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Pagan was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.