Organization Active NPI

Still Waters Counseling

  • Community/Behavioral Health Agency
  • Springfield, MO
National Provider Identifier
1184870859
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2004005777 Issued in MO
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

Updated by the provider on Aug 13, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.