Organization Active NPI

Still Waters Therapy and Trauma Recovery PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1457007213
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STILL WATERS THERAPY AND TRAUMA RECOVERY PLLC
Practice address
8700 Menchaca Rd Ste 801
Austin, TX 78748-5379
Phone
(512) 643-8625
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Adrienne RobisonNPI 1003108739
Title
Managing Member
Phone
(512) 643-8625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8700 Menchaca Rd Ste 801
Austin, TX 78748-5379

Mailing address

8700 Menchaca Rd Ste 801
Austin, TX 78748-5379
Phone (512) 643-8625

National Provider Directory

National Provider Directory

Locations

8700 Menchaca Rd
Ste 801
Austin, TX 78748
Phone (512) 200-4971

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1457007213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MENCHACA RD STE 801",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485379",
            "telephone_number": "512-643-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MENCHACA RD STE 801",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485379",
            "telephone_number": "512-643-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS THERAPY AND TRAUMA RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-643-8625"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.