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KEVIN STALLER LPC
NPI 1659826154
Counselor - Mental Health in Cleveland, OH

Active since August 25, 2016
8411 BROADWAY AVE, CLEVELAND, OH 44105(216) 206-5201(216) 441-3637 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Staller Lpc NPPES

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

KEVIN STALLER LPC (NPI 1659826154) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (C.1500314) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1659826154
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN STALLERCredential: LPC
Location Address8411 BROADWAY AVECleveland, OH 44105-3932
Mailing Address8411 Broadway AveCleveland, OH 44105-3932 · (216) 206-5201 · Fax (216) 441-3637
Phone(216) 206-5201
Fax(216) 441-3637
Sole ProprietorYes
Enumeration DateAugust 25, 2016
✔ NPI 1659826154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1500314
8411 BROADWAY AVE, Cleveland, OH 44105
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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.

ALBERT GREEN
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
MISS RAESHON L CALDWELL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LAKIA SIRESE BUCKLEY
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LOGAAN HARRIS
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (121) 664-1231
KELLY MARIE MCDANIEL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
KENT OBRIAN STRAIN
Behavior Technician
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
JANE M MILLER LSW
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
DONNA HOWARD
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0220

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 Kevin Staller's NPI number?

The NPI number for Kevin Staller is 1659826154. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Kevin Staller located?

Kevin Staller practices at 8411 Broadway Ave, Cleveland, OH 44105. The listed phone number is (216) 206-5201.

What is Kevin Staller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Staller was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.