Stillwater Group Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT35443 Issued in CA

Legal business name

STILLWATER GROUP INC

Practice address

2100 N Sepulveda Blvd
Suite 30
Manhattan Beach, CA 90266-2948

Phone

(310) 378-2520

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Virginia C Green, PH.D.NPI 1295872455

Title

Ceo

Phone

(310) 378-2520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Virginia C. Green, PHD

  • Mental Health Counselor
  • Lawndale, CA
  • NPI 1295872455
  NPD (past) Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1154746170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "SUITE 30",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-378-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "SUITE 30",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-378-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-378-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT35443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.