STILLWATERS COUNSELING LLC (NPI# 1568006815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568006815 |
Entity Type | Organization |
Organization Name | STILLWATERS COUNSELING LLC |
Practice Address |
1309 Camas St Blackfoot ID 83221-3060 |
Mailing Address |
Po Box 903 Blackfoot ID 83221-0903 |
Practice Telephone | 2086805751 |
Practice Fax Number | 2087820678 |
Mailing Telephone | 2087820675 |
Mailing Fax Number | 2087820678 |
Enumeration Date | 2019-10-30 |
Last Update Date | 2019-10-30 |
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 | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Stillwaters Counseling | Doing Business As Name - Organization |
Stillwaters Counseling LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275638645 | Stillwaters Counseling LLC | Case Management | 1309 Camas St, Blackfoot, ID 83221-3060 | 2006-09-13 |
1407499973 | Stillwaters Counseling LLC | Peer Specialist | 1309 Camas St, Blackfoot, ID 83221-3060 | 2019-10-28 |
1063729598 | Stillwaters Counseling LLC | Social Worker | 316 N 10th St, Worland, WY 82401-2307 | 2010-09-03 |
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 |
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 |
1710336946 | Sharon Lee Rivas | Counselor | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-06-08 |
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 |
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 |
1467679035 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 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.