STILL WATERS PROFESSIONAL COUNSELING LLC (NPI# 1730116187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730116187 |
Entity Type | Organization |
Organization Name | STILL WATERS PROFESSIONAL COUNSELING LLC |
Practice Address |
1904 West Royale Drive Muncie IN 47304-2264 |
Practice Telephone | 7652840043 |
Practice Fax Number | 7652844112 |
Mailing Telephone | 7652840043 |
Mailing Fax Number | 7652844112 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2015-07-06 |
Authorized Official Name | ROBYN KITTRELL (OWNER/DIRECTOR) |
Authorized Official Telephone | 7652840043 |
Authorized Official Credential | PHD HSPP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC1900X |
Psychologist Specialization: Counseling |
20041894A | IN | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
20041851A | IN | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
20041828A | IN | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 35001519A | IN | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MAGELLAN HEALTH SERVICES | 740738000 | 01 |
Street Address |
1904 WEST ROYALE DRIVE |
City | MUNCIE |
State | IN |
Zip Code | 47304-2264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114954062 | Robyn Kittrell | Psychologist | 1904 West Royale Drive, Muncie, IN 47304-2264 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
Find all providers in zip 47304 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699003749 | Christine Henry | Psychologist | 4900 N Wheeling Ave, Suite 1, Muncie, IN 47304-7000 | 2009-12-01 |
1932399524 | Donald Richard Nicholas | Psychologist | Ball State Univ, Department of Counseling Psychology, Tc622, Muncie, IN 47306-1099 | 2007-07-30 |
1184707556 | Vietnam Veterans Family Assistance Center | Psychologist | 723 W Centennial Ave, Muncie, IN 47303-2974 | 2006-10-22 |
1982717385 | Wayne Miracle | Psychologist | 413 S. Liberty St., Muncie, IN 47305-2341 | 2006-08-17 |
1114954062 | Robyn Kittrell | Psychologist | 1904 West Royale Drive, Muncie, IN 47304-2264 | 2006-06-27 |
1982630596 | Quinton Thomas Edwards, Jr. | Psychologist | 707 W University Ave, Muncie, IN 47303-3865 | 2006-06-24 |
1417953670 | Jodi Lynn Nixon | Psychologist | 1904 W. Royale Dr., Muncie, IN 47304-2664 | 2005-06-22 |
1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
1558900753 | Ashley Hutchison | Psychologist | 2205 N Wheeling Ave, Muncie, IN 47303-1602 | 2020-01-06 |
1225524481 | Shari Mathews | Psychologist | 1806 W Royale Dr, Muncie, IN 47304-2243 | 2018-07-10 |
Find all providers in MUNCIE |
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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.