Still Waters Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

STILL WATERS COUNSELING CENTER, LLC

Practice address

400 Office Park Dr Ste 230
Mountain BRK, AL 35223-3410

Phone

(205) 883-1423

Fax

(205) 533-9960

NPI assigned

Mar 10, 2022

Last updated

Dec 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Beverly Ward, MA, EDS, LPCNPI 1114687654

Title

Licensed Professional Counselor

Phone

(205) 825-1423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Ward, LPC

  • Professional Counselor
  • Mountain BRK, AL
  • NPI 1114687654
  Medicare reassignment NPD Authorized official
• Sandra Bruno

  • Marriage & Family Therapist
  • Madison, AL
  • NPI 1811522253
  Medicare reassignment NPD
• Rebecca Moerbe, LICSW

  • Clinical Social Worker
  • Gardendale, AL
  • NPI 1992391619
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1003563917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 230",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233410",
            "telephone_number": "205-883-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 230",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233410",
            "telephone_number": "205-883-1423",
            "fax_number": "205-533-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "205-825-1423",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, EDS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bretrese Stacy, LPC, NCC
• Starlight ABA Al LLC
• Elizabeth Staup, MS, RD, LD
• Shannon La'Shae Steele, LMSW-MPH
• Still Waters Counseling and Education Center
• Stephanie Bethke Stoll, PH.D., BCBA-D
• Stonecreek Dental of Alabama
• Parker L Storey, PHD
• Hannah Lara Strickland, M.S., CCC-SLP
• Truli Strickland

• Professional Counselor in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.