Organization Active NPI

Still Waters Mental Health, LLC

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1063279503
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
STILL WATERS MENTAL HEALTH, LLC
Practice address
9220 Teddy LN Ste 2000D
Lone Tree, CO 80124-6740
Phone
(720) 263-2528
Fax
(866) 214-1683
NPI assigned
Mar 1, 2024
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Samantha Hudgins, PA-CNPI 1477141380
Title
Owner
Phone
(303) 501-4194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

9220 Teddy LN Ste 2000D
Lone Tree, CO 80124-6740

Mailing address

9220 Teddy LN Ste 2000-2E
Lone Tree, CO 80124-6740

Other practice location 1

10293 N Meridian St Ste 210
Carmel, IN 46290-1079
Phone (720) 263-2528

Other practice location 2

6165 Lehman Dr Ste 102
Colorado Springs, CO 80918-5405
Phone (720) 263-2528

National Provider Directory

National Provider Directory

Locations

9220 Teddy Ln
Ste 20002E
Lone Tree, CO 80124

9220 Teddy Ln
Ste 2000D
Lone Tree, CO 80124
Phone (720) 263-2528

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1063279503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000-2E",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000D",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10293 N Meridian St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901079",
            "country_code": "US",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6165 Lehman Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185405",
            "country_code": "US",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STILL WATERS MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-501-4194",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.