Organization Active NPI

Stillwaters Counseling, LLC

  • Marriage & Family Therapist
  • Mary Esther, FL
National Provider Identifier
1265846000
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2651 Issued in FL
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

Updated by the provider on Jun 19, 2014

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH4823 FL
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.