Kirstin Stillwell, M.A. LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0183071 Issued in NM

Practice address

3901 Louisiana Blvd NE Ste C
Albuquerque, NM 87110-1448

Phone

(505) 888-1686

Fax

(505) 888-1683

NPI assigned

Aug 17, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043590458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FRUIT AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041228",
            "telephone_number": "505-503-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LOUISIANA BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101448",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Fruit Ave NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871041228",
            "country_code": "US",
            "telephone_number": "505-503-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "KIRSTIN",
        "name_prefix": "Mrs.",
        "credential": "M.A. LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0183071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Renee Stidham, CSW
• Kelsey Stierwalt, PA-C
• Olivia Rai Stiker
• Alyssa Still
• Minda Jane Stillings, LPC
• Helene M Stilman, MSW
• Grace-Anne Stimpson, MSN, PMHNP-BC
• Stimulating Minds Autism Clinic, LLC
• Shelley Sue Stisser, LPC
• Danniel Stites

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.