Organization Active NPI

Still Waters Counseling LLC

  • Professional Counselor
  • Jefferson City, MO
National Provider Identifier
1841094620
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STILL WATERS COUNSELING LLC
Doing business as
Still Waters Counseling LLC
Practice address
400 E High St
Jefferson City, MO 65101-3215
Phone
(573) 761-0444
Fax
(573) 606-5770
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mrs. Miriam Burch
Title
Credentialing Manager
Phone
(573) 473-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

400 E High St
Jefferson City, MO 65101-3215

Mailing address

1407 Moreland Ave
Jefferson City, MO 65101-3773
Phone (573) 473-0703

Other names 1

  • Still Waters Counseling LLC Doing business as

National Provider Directory

National Provider Directory

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": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1841094620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 MORELAND AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013773",
            "telephone_number": "573-473-0703",
            "fax_number": "573-606-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013215",
            "telephone_number": "573-761-0444",
            "fax_number": "573-606-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "573-473-0703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Waters Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.