SHELLY R STILLMAN (NPI# 1538616750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538616750 |
| Entity Type | Individual |
| Full Name | SHELLY R STILLMAN |
| Credential | M.A,PLPC |
| Practice Address |
567 Madison St Saint Charles MO 63301-2747 |
| Practice Telephone | 6367955468 |
| Mailing Telephone | 6367955468 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2016031782 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 2016031782 | 05 |
| Street Address |
567 MADISON ST |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176374 | James Walsh | Counselor | 567 Madison St, Saint Charles, MO 63301-2747 | 2013-12-19 |
| 1861949893 | Candra Jamae Poitras | Counselor | 567 Madison St, Saint Charles, MO 63301-2747 | 2016-09-07 |
| 1053866772 | Julia Ann Hillyer | Counselor | 567 Madison St, Saint Charles, MO 63301-2747 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243584 | Darla Jean Mcadams | Counselor | 1570 S Main St Ste 200, Saint Charles, MO 63303-4149 | 2019-06-06 |
| 1013498302 | Cassandra Eubanks | Counselor | 300 1st Capitol Dr Unit 4a, Saint Charles, MO 63301-2844 | 2018-08-24 |
| 1083155378 | Kailey Bocanegra | Counselor | 2560 Foxfield Rd Ste 310, Saint Charles, IL 60174-5731 | 2017-03-20 |
| 1477920049 | Sarah B Maurer | Counselor | 205 N 5th St Ste 203, Saint Charles, MO 63301-1877 | 2015-08-30 |
| 1255737383 | Emily Webb | Counselor | 3906 S Old Highway 94, Saint Charles, MO 63304-2853 | 2014-11-18 |
| 1497176374 | James Walsh | Counselor | 567 Madison St, Saint Charles, MO 63301-2747 | 2013-12-19 |
| 1003164286 | Mary Madsen-heskin | Counselor | 475 Dunham Rd Ste 2a, Saint Charles, IL 60174-1498 | 2012-08-20 |
| 1326303082 | Jeffrey Allen Fabbiano | Counselor | 1600 Heritage Landing Ste 116, Saint Charles, MO 63303 | 2012-07-09 |
| 1447510979 | Kathryn Rose Maus | Counselor | 1342 Auburn Hills Dr, Saint Charles, MO 63304-2448 | 2012-05-17 |
| 1801126941 | Philip James Kocisko | Counselor | 3140 W. Route 64, Saint Charles, IL 60175 | 2010-01-13 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
Please comment or provide details below to improve the information on SHELLY R STILLMAN.
| 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.