Organization Active NPI

Still Waters Recovery Counseling and Wellness

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
National Provider Identifier
1467819268
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STILL WATERS RECOVERY COUNSELING AND WELLNESS
Practice address
305 2ND Ave SE Ste 200
Cedar Rapids, IA 52401-1207
Phone
(319) 350-9444
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Mr. Kelly Grant Marsengill, CADC
Title
Executive Director
Phone
(319) 350-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 2ND Ave SE Ste 200
Cedar Rapids, IA 52401-1207

Mailing address

305 2ND Ave SE Ste 200
Cedar Rapids, IA 52401-1207
Phone (319) 350-9444

Other names 1

  • Still Waters Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1467819268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 2ND AVE SE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011207",
            "telephone_number": "319-350-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 2ND AVE SE STE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011207",
            "telephone_number": "319-350-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS RECOVERY COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "MARSENGILL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-350-9444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Waters",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.