Water Stone Fire Darkness PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WATER STONE FIRE DARKNESS PLLC

Practice address

3000 Polar LN Ste 602
Cedar Park, TX 78613-3073

Phone

(832) 465-0100

NPI assigned

Dec 13, 2022

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Donovan, LPCNPI 1114638863

Title

Clinician

Phone

(832) 465-0100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Donovan

  • Professional Counselor
  • Cedar Park, TX
  • NPI 1114638863
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1427769181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 FITZHUGH RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205003",
            "telephone_number": "832-465-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 602",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "832-465-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STONE FIRE DARKNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "832-465-0100",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lanae Warren
• Lisa Z. Warren, PH.D.
• Marissa Warren, OTRL
• Pamela A Warren, MD
• Water Oak Psychiatry PLLC
• Waterloo Eye Associates (Hill Country Eye Center)
• Davida P Watkins
• Felicity Jewell Way, NP-C
• Wayne a. Hurst, DPM, PA (Foot Specialists of Cedar Park and Georgetown)
• Kimberly S Weaster, M.ED., LPC, NCC

• Adult Mental Health Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.