Organization Active NPI

CT Counseling LLC

Doing business as Still Waters Counseling

  • Professional Counselor
  • Lawtey, FL
National Provider Identifier
1528675162
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CT COUNSELING LLC
Doing business as
Still Waters Counseling
Practice address
23051 NW County Road 200a
Lawtey, FL 32058-4215
Phone
(904) 966-1585
NPI assigned
Sep 28, 2020
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Mrs. Christina C Tatum, LMHCNPI 1154920767
Title
Owner
Phone
(904) 966-1585

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

23051 NW County Road 200a
Lawtey, FL 32058-4215

Mailing address

23051 NW County Road 200a
Lawtey, FL 32058-4215
Phone (904) 966-1585

Other names 1

  • Still Waters Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029000417 FL Part B Supplier - Clinic/Group Practice 1557850781 Receives reassigned benefits from 1 practitioner
Practice locations: Starke, FL

National Provider Directory

National Provider Directory

Locations

109 E Call St
Starke, FL 32091
Phone (904) 364-0870

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1528675162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23051 NW COUNTY ROAD 200A",
            "city": "LAWTEY",
            "state": "FL",
            "postal_code": "320584215",
            "telephone_number": "904-966-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23051 NW COUNTY ROAD 200A",
            "city": "LAWTEY",
            "state": "FL",
            "postal_code": "320584215",
            "telephone_number": "904-966-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-966-1585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Waters Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawtey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.