Active NPI
Still Waters Counseling
- Community/Behavioral Health Agency
- Springfield, MO
National Provider Identifier
1184870859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2004005777
- Legal business name
- STILL WATERS COUNSELING
- Practice address
- 1330 E Cherry St
Suite 7
Springfield, MO 65802-3429 - Phone
- (417) 869-1074
- Fax
- (417) 869-1074
- NPI assigned
- Aug 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melody Darlene Palm, PSY.D
- Title
- Owner
- Phone
- (417) 869-1074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2004005777 | MO | Primary |
Addresses
Primary practice location
1330 E Cherry St
Suite 7
Springfield, MO 65802-3429
Mailing address
1330 E Cherry St
Suite 7
Springfield, MO 65802-3429
Phone (417) 869-1074
National Provider Directory
National Provider DirectoryLocations
1330 E Cherry St
Ste 7
Springfield, MO 65802
Phone (417) 869-1074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Springfield, MO
- NPI 1275789265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1184870859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 E CHERRY ST",
"address_2": "SUITE 7",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658023429",
"telephone_number": "417-869-1074",
"fax_number": "417-869-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E CHERRY ST",
"address_2": "SUITE 7",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658023429",
"telephone_number": "417-869-1074",
"fax_number": "417-869-1074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATERS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "PALM",
"authorized_official_first_name": "MELODY",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-869-1074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": "2004005777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.