Healthcare Provider Details
I. General information
NPI: 1992068100
Provider Name (Legal Business Name): SHAWN ROCHELLE STEPP MS, LMHC, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2012
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5788 OAKWOOD AVE NE UNIT 35788
CEDAR RAPIDS IA
52402-1285
US
IV. Provider business mailing address
5788 OAKWOOD AVE NE UNIT 3
CEDAR RAPIDS IA
52402-1285
US
V. Phone/Fax
- Phone: 319-423-9721
- Fax:
- Phone: 319-899-4053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 035130 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 00849 |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: