STILL WATERS CONSULTING GROUP, LLC (NPI# 1326695271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326695271 |
| Entity Type | Organization |
| Organization Name | STILL WATERS CONSULTING GROUP, LLC |
| Practice Address |
2020 W 3rd St Ste 609 Little Rock AR 72205-4467 |
| Practice Telephone | 5012630400 |
| Practice Fax Number | 8447572834 |
| Mailing Telephone | 5012473656 |
| Mailing Fax Number | 5014926495 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-10-25 |
| Authorized Official Name | DR. CAREN R MOORE (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5012630400 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS OF ARKANSAS | 5BL70 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7107 W 12th St Ste 101, Little Rock, AR 722042450 | 5012630555 | 8447572834 |
| Street Address |
2020 W 3RD ST STE 609 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632407 | Caren R Moore | Psychologist | 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770078750 | Sarah Henderson | Psychologist | 10802 Executive Center Dr Ste 100, Little Rock, AR 72211-4377 | 2018-06-22 |
| 1316498744 | Morais Consulting, Pllc | Psychologist | 2723 Foxcroft Rd Ste 202f, Little Rock, AR 72227-6522 | 2016-10-20 |
| 1649632407 | Caren R Moore | Psychologist | 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 | 2016-03-22 |
| 1548647381 | Melissa Jean Zielinski | Psychologist | 4301 W Markham St, Slot 589, Little Rock, AR 72205 | 2015-04-30 |
| 1548677693 | Rachel Allen | Psychologist | 11219 Financial Centre Pkwy Ste 310, Little Rock, AR 72211-3868 | 2014-07-21 |
| 1487965521 | Jennifer Renae Downey | Psychologist | 15 Childrens Way, Little Rock, AR 72202-3500 | 2010-06-23 |
| 1386874733 | Nina Floyd | Psychologist | 6020 Ranch Dr Ste 3, Little Rock, AR 72223-4621 | 2009-07-20 |
| 1922237437 | J Michael Wood Jr. | Psychologist | 8306 Reymere Drive, Little Rock, AR 72227 | 2009-07-06 |
| 1760626840 | Taisha M Jones | Psychologist | 305 S. Palm Street, Arkansas State Hospital, Little Rock, AR 72205 | 2009-04-21 |
| 1659439925 | Psychiatric Associates of Arkansas Pllc | Psychologist | 9601 Baptist Health Dr Ste 1050, Little Rock, AR 72205-6379 | 2006-12-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on STILL WATERS CONSULTING GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.