STILL WATERS COUNSELING (NPI# 1699261990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699261990 |
| Entity Type | Organization |
| Organization Name | STILL WATERS COUNSELING |
| Practice Address |
442 Nw Wade Street Estacada OR 97023 |
| Mailing Address |
442 Nw Wade St Estacada OR 97023-9744 |
| Practice Telephone | 5415618127 |
| Mailing Telephone | 5415618127 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | ANTONIO CLIFTON LONG-DREW (OWNER/OPERATOR) |
| Authorized Official Telephone | 5415618127 |
| Authorized Official Credential | REGISTERED LPC I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
R4884 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104335470 | Still Waters Counseling | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2017-09-29 |
| 1851610760 | Still Waters Counseling | Clinic/Center | 1309 Camas St, Blackfoot, ID 83221-3060 | 2010-05-18 |
| 1184870859 | Still Waters Counseling | Community/Behavioral Health | 1330 E Cherry St, Suite 7, Springfield, MO 65802-3429 | 2008-08-13 |
| 1518097997 | Still Waters Counseling | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING | 478 Nw Wade St, Estacada, OR 97023 |
| Connecticut Business Registrations | STILL WATERS COUNSELING AND WELLNESS LLC | 278 East St N, Suffield, CT 06078 |
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING CENTER LLC | 1050 Willagillespie Rd Ste 103, Eugene, OR 97401 |
| Colorado Business Entities | Still Waters Counseling L.L.C. | 9220 Kimmer Dr Ste 240, Lone Tree, CO 80124 |
| Colorado Business Entities | Still Waters Counseling Services LLC | 24288 E Brandt Ave, Aurora, CO 80016 |
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING SERVICES, LLC | 66422 Hunter Rd, Summerville, OR 97876 |
| Connecticut Business Registrations | STILL WATERS COUNSELING SERVICES, PLLC | 57 Plains Rd Ste 1a, Milford, CT 06460 |
| System for Award Management (SAM) Entities | STILL WATERS COUNSELING, LLC | 1917 Stubbs Ave Ste B, Monroe, LA 71201-5729 |
| Street Address |
442 NW WADE STREET |
| City | ESTACADA |
| State | OR |
| Zip Code | 97023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713575 | Estacada School District 108 | Local Education Agency (LEA) | 255 Ne 6th Avenue, Estacada, OR 97023 | 2019-01-10 |
| 1366936098 | Antonio Clifton Long-drew | Counselor | 478 Nw Wade St, Estacada, OR 97023 | 2018-06-16 |
| 1538402664 | Brian C Gilchrist | Pharmacist | 207 S Broadway St, Estacada, OR 97023 | 2013-03-27 |
| 1164664520 | Amy M Kammerer | Massage Therapist | 810 Ne Hill Way, Estacada, OR 97023 | 2009-04-01 |
| 1700038403 | Andrea Lea Premazzi | Naturopath | 121n Broadway St, Nw Center for Natural Medicine, Estacada, OR 97023 | 2008-10-14 |
| 1851588149 | Assisted Living Concepts Inc | Assisted Living Facility | 380 Nw 6th Avenue, Estacada, OR 97023 | 2007-10-01 |
| 1568661445 | Susan M. Jones | Mechanotherapist | 200 Sw Clubhouse Dr., Estacada, OR 97023 | 2007-07-12 |
| 1518035229 | Mastertech Security Services Inc | Personal Emergency Response Attendant | 303 Sw Zobrist, Estacada, OR 97023 | 2006-12-01 |
| 1598866154 | Russell Eugene Bibb Jr. | Dentist | 103 Sw Hwy 224, Ste A, Estacada, OR 97023 | 2006-09-26 |
| 1790729952 | Brian T Sundahl | Physical Therapist | 372 South Broadway, Estacada, OR 97023 | 2006-06-16 |
| Find all providers in zip 97023 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366936098 | Antonio Clifton Long-drew | Counselor | 478 Nw Wade St, Estacada, OR 97023 | 2018-06-16 |
| 1962882860 | Sabrina Sue Danielson | Counselor | 43299 Se Porter Rd, Estacada, OR 97023-9549 | 2015-06-04 |
| 1023378213 | Mary Kay Workman | Counselor | 23721 S Day Hill Rd, Estacada, OR 97023-9401 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1225637671 | Lisa Sturdivant | Counselor | 17321 Sw Woodhaven Dr, Sherwood, OR 97140-8225 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STILL WATERS COUNSELING.
| 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.