Active NPI
Still Waters Holdings
Doing business as Still Waters Professional Counseling
- Mental Health Counselor
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STILL WATERS HOLDINGS
- Doing business as
- Still Waters Professional Counseling
- Practice address
- 3301 W Purdue Ave
Muncie, IN 47304-6356 - Phone
- (765) 284-0043
- Fax
- (765) 284-4112
- NPI assigned
- Jun 28, 2006
- Last updated
- Jan 14, 2024
- 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
- Meredith Boatwright
- Title
- Owner
- Phone
- (765) 284-0043
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Counseling Psychologist | 103TC1900X | 20041894A | IN | |
| Counseling Psychologist | 103TC1900X | 20041851A | IN | |
| Counseling Psychologist | 103TC1900X | 20041828A | IN | |
| Counseling Psychologist | 103TC1900X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | 35001519A | IN | |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
3301 W Purdue Ave
Muncie, IN 47304-6356
Mailing address
3301 W Purdue Ave
Muncie, IN 47304-6356
Phone (765) 284-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 740738000 | Other | IN | MAGELLAN HEALTH SERVICES |
Other names 1
- Still Waters Professional Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1904 W Royale Dr
Muncie, IN 47304
Phone (765) 284-0043
2700 N Wheeling Ave
Ste 7
Muncie, IN 47303
Phone (765) 281-2952
Practitioners & affiliated clinicians
Practitioners 36
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.
-
- Mental Health Counselor
- Muncie, IN
- NPI 1144779174
-
- Mental Health Counselor
- Fishers, IN
- NPI 1831866763
-
- Marriage & Family Therapist
- Muncie, IN
- NPI 1356561773
-
- Clinical Social Worker
- Muncie, IN
- NPI 1396172656
-
- Mental Health Counselor
- Muncie, IN
- NPI 1629633953
-
- Social Worker
- Muncie, IN
- NPI 1407745961
-
- Clinical Psychologist
- Muncie, IN
- NPI 1174930499
-
- Mental Health Counselor
- Muncie, IN
- NPI 1558739755
-
- Counseling Psychologist
- Muncie, IN
- NPI 1457848459
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1912783093
-
- Mental Health Counselor
- Muncie, IN
- NPI 1316348402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705190400000",
"number": "1730116187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W PURDUE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473046356",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 W PURDUE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473046356",
"telephone_number": "765-284-0043",
"fax_number": "765-284-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATERS HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2024-01-14",
"certification_date": "2024-01-14",
"status": "A",
"authorized_official_last_name": "BOATWRIGHT",
"authorized_official_first_name": "MEREDITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-284-0043"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20041894A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20041851A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20041828A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001519A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "740738000",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Still Waters Professional Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.