Still Waters Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STILL WATERS THERAPY, LLC

Practice address

1 Hargrove Grade Ste 1E
Palm Coast, FL 32137-5116

Phone

(386) 387-1783

NPI assigned

Jul 19, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Marie Taylor, LMHCNPI 1114424272

Title

Mental Health Counselor

Phone

(386) 387-1783

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marie Taylor, LMHC

  • Mental Health Counselor
  • Palm Coast, FL
  • NPI 1114424272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1134737828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RYDING LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646012",
            "telephone_number": "386-264-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARGROVE GRADE STE 1E",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321375116",
            "telephone_number": "386-387-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-19",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "386-387-1783",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Raymond Steinwehr Jr., ATC
• Taylor Stephan, MSN, APRN, FNP-BC
• Cala Stevens, COTA/L
• Jeanette Ann Stevens
• Marleigh Mlinac Stevenson, DPT
• Amy Louise Stilson
• Elizabeth Stinchcomb
• Debra Anne Stinson
• Kseniya Stockhammer, PA-C
• Joanne McGunnigle Strickland

• Mental Health Counselor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.