Stillwaters Relational and Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STILLWATERS RELATIONAL AND BEHAVIORAL HEALTH

Practice address

10109 Gully Pass Dr
Washington Township, OH 45458-4360

Phone

(513) 339-6396

NPI assigned

Jul 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly HibbettNPI 1568049062

Title

Billing Specialist

Phone

(513) 482-1624

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Bush, PHD, MA, MDIV, LPCC

  • Mental Health Counselor
  • Florence, KY
  • NPI 1568049062
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1326938655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 GULLY PASS DR",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454584360",
            "telephone_number": "513-339-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 GULLY PASS DR",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454584360",
            "telephone_number": "513-339-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS RELATIONAL AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "HIBBETT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "513-482-1624"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101012000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kelly Selover, LPCC-S, NCC, CDCA
• Judith Showers, RBT
• Nashay Smith
• Elizabeth Swearingen
• Lynn Tibbals
• Alejandra Trevino
• Katie Utz
• My'Kail Vineyard

• Mental Health Counselor in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.