STILL WATERS COUNSELING (NPI# 1851610760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851610760 |
| Entity Type | Organization |
| Organization Name | STILL WATERS COUNSELING |
| Practice Address |
1309 Camas St Blackfoot ID 83221-3060 |
| Mailing Address |
Po Box 903 Blackfoot ID 83221-0903 |
| Practice Telephone | 2087820675 |
| Practice Fax Number | 2087820678 |
| Mailing Telephone | 2087820675 |
| Mailing Fax Number | 2087820678 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | MRS. STACIE LEE STEPHENSON (OFFICE MANAGER) |
| Authorized Official Telephone | 2087820675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | LCSW261187 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8084327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261990 | Still Waters Counseling | Counselor | 442 Nw Wade Street, Estacada, OR 97023 | 2018-07-10 |
| 1104335470 | Still Waters Counseling | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2017-09-29 |
| 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 |
1309 CAMAS ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275638645 | Stillwaters Counseling LLC | Case Management | 1309 Camas St, Blackfoot, ID 83221-3060 | 2006-09-13 |
| 1184257644 | Dallen Ray Bell | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2020-02-12 |
| 1326670845 | Ben Lazarus Fox | Social Worker | 1309 Camas St, Blackfoot, ID 83221-3060 | 2020-02-12 |
| 1275177503 | Still Waters Counseling LLC | Case Management | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1568006815 | Stillwaters Counseling LLC | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1407499973 | Stillwaters Counseling LLC | Peer Specialist | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-28 |
| 1275092728 | Susannah Lynn Pipkin | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-03-14 |
| 1548771769 | Jordan Lyon | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2017-10-15 |
| 1265951388 | Neill J Jenson | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2017-09-11 |
| 1760937148 | Kayla Pedigo | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538225545 | State of Idaho Department of Health and Welfare | Clinic/Center | 700 E. Alice, Box 400, Blackfoot, ID 83221-0400 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323216 | Wolf Pack LLC | Clinic/Center | 939 S 25th E Ste 115, Ammon, ID 83406-5736 | 2020-07-13 |
| 1831730118 | Falls Medical Aesthetics, Pllc | Clinic/Center | 814 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2019-10-08 |
| 1164072187 | Peter John Leichtnam | Clinic/Center | 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 | 2019-09-12 |
| 1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
| 1093368276 | Korena Popp Fnp Medical Services LLC | Clinic/Center | 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 | 2019-07-17 |
| 1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1912487646 | Ideal Option, Pllc | Clinic/Center | 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 | 2018-08-21 |
| 1801376256 | Ideal Option, Pllc | Clinic/Center | 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 | 2018-08-15 |
| 1649759374 | North Canyon Mountain Home Clinic | Clinic/Center | 840 N 4th E, Mountain Home, ID 83647-2166 | 2018-08-13 |
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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.