NPIMap

Organization Active NPI

Still Waters Mental Health, LLC

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1164328563
Registry record updated Oct 14, 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
6165 Lehman Dr Ste 102
Colorado Springs, CO 80918-5405
Phone
(720) 263-2528
Fax
(866) 214-1683
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
STILL WATERS MENTAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 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 and Provider
Phone
(720) 263-2528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6165 Lehman Dr Ste 102
Colorado Springs, CO 80918-5405

Mailing address

9220 Teddy LN Ste 2000-2E
Lone Tree, CO 80124-6740
Phone (720) 263-2528

National Provider Directory

National Provider Directory
Tax ID family
Still Waters Mental Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9220 Teddy Ln
Ste 20002E
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": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1164328563",
    "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",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 LEHMAN DR STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185405",
            "telephone_number": "720-263-2528",
            "fax_number": "866-214-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS MENTAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STILL WATERS MENTAL HEALTH, LLC",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "HUDGINS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "720-263-2528",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.