Active NPI
Still Waters Therapy, Marriage and Family Counseling, PC
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1487337432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- STILL WATERS THERAPY, MARRIAGE AND FAMILY COUNSELING, PC
- Practice address
- 9401 E Stockton Blvd Ste 115
Elk Grove, CA 95624-5050 - Phone
- (916) 579-7145
- Fax
- (916) 581-8694
- NPI assigned
- Aug 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Makela Nicole Mims, LMFT
- Title
- Owner
- Phone
- (916) 579-7145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
9401 E Stockton Blvd Ste 115
Elk Grove, CA 95624-5050
Mailing address
9401 E Stockton Blvd Ste 115
Elk Grove, CA 95624-5050
Phone (916) 579-7145
Other names 1
- Still Waters Therapy, Marriage and Family Counseling, PC
National Provider Directory
National Provider DirectoryLocations
9401 E Stockton Blvd
Ste 115
Elk Grove, CA 95624
Phone (916) 359-2950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Oakland, CA
- NPI 1518349687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1487337432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 E STOCKTON BLVD STE 115",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245050",
"telephone_number": "916-579-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 E STOCKTON BLVD STE 115",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245050",
"telephone_number": "916-579-7145",
"fax_number": "916-581-8694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATERS THERAPY, MARRIAGE AND FAMILY COUNSELING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "MIMS",
"authorized_official_first_name": "MAKELA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-579-7145",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Still Waters Therapy, Marriage and Family Counseling, PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.