Active NPI
Stillwaters Counseling, LLC
- Marriage & Family Therapist
- Mary Esther, FL
National Provider Identifier
1265846000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2651
- Legal business name
- STILLWATERS COUNSELING, LLC
- Practice address
- 425 East Hollywood Boulevard
Building C, Suite #C5
Mary Esther, FL 32569 - Phone
- (850) 301-3525
- Fax
- (850) 301-3525
- NPI assigned
- Jun 19, 2014
- 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
- Ms. Katherine Irene Frechette, LMHC, LMFT
- Title
- Owner/Manager
- Phone
- (850) 301-3525
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4823 | FL | |
| Marriage & Family Therapist | 106H00000X | MT2651 | FL | Primary |
Addresses
Primary practice location
425 East Hollywood Boulevard
Building C, Suite #C5
Mary Esther, FL 32569
Mailing address
425 East Hollywood Boulevard
Building C , Suite #5
Mary Esther, FL 32569
Phone (850) 301-3525
National Provider Directory
National Provider DirectoryLocations
425 E Hollywood Blvd
Ste C
Mary Esther, FL 32569
Phone (850) 301-3525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403136000000",
"number": "1265846000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 EAST HOLLYWOOD BOULEVARD",
"address_2": "BUILDING C , SUITE #5",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "32569",
"telephone_number": "850-301-3525",
"fax_number": "850-301-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 EAST HOLLYWOOD BOULEVARD",
"address_2": "BUILDING C, SUITE #C5",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "32569",
"telephone_number": "850-301-3525",
"fax_number": "850-301-3525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILLWATERS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A",
"authorized_official_last_name": "FRECHETTE",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "850-301-3525",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4823",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.