STILL WATERS COUNSELING (NPI# 1518097997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518097997 |
| Entity Type | Organization |
| Organization Name | STILL WATERS COUNSELING |
| Practice Address |
1309 Camas St Blackfoot ID 83221-3060 |
| Practice Telephone | 2087820675 |
| Practice Fax Number | 2087820678 |
| Mailing Telephone | 2087820675 |
| Mailing Fax Number | 2087820678 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | MR. JOHN DEE STEPHENSON (OWNER) |
| Authorized Official Telephone | 2087820675 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LCSW 26187 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807352800 | 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 |
| 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 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538352828 | Awareness Center for Counseling | Community/Behavioral Health | 167 W Bridge St, Blackfoot, ID 83221-2704 | 2007-08-21 |
| 1366593964 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-01-12 |
| 1316000441 | The Living Farm, PC | Community/Behavioral Health | 373 W Highway 39 # 2, Blackfoot, ID 83221-5600 | 2006-12-19 |
| 1568006815 | Stillwaters Counseling LLC | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-30 |
| 1780879700 | Southeastern Idaho Developmental Center, Inc. | Community/Behavioral Health | 765 W Judicial St, Blackfoot, ID 83221-2036 | 2007-09-12 |
| 1609094929 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-23 |
| 1407074636 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 2007-04-23 |
| 1104042944 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-18 |
| 1831315670 | A To Z Family Services Inc. | Community/Behavioral Health | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2007-04-18 |
| 1336365097 | Family Pathways Cooperative, Inc | Community/Behavioral Health | 75 Lilac St, Blackfoot, ID 83221-1768 | 2007-04-18 |
| Find all providers in BLACKFOOT | ||||
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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.