Active NPI
Satchel Pierce Stillwell, B.A., M.A., LPC-I
- Counselor
- Southlake, TX
National Provider Identifier
1851726251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 71276
- Practice address
- 181 Grand Ave
Ste 230
Southlake, TX 76092-7631 - Phone
- (817) 756-1440
- NPI assigned
- Sep 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 71276 | TX | Primary |
Addresses
Primary practice location
181 Grand Ave
Ste 230
Southlake, TX 76092-7631
Mailing address
1450 S White Chapel Blvd
Southlake, TX 76092-9306
Phone (817) 917-8843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71276 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Light Counseling, LLC | Current | Accepting new patients | |
| Compassion Centered Counseling | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Southlake, TX
- NPI 1629857289
-
- Community/Behavioral Health Agency
- Keller, TX
- NPI 1457832131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1851726251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 S WHITE CHAPEL BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929306",
"telephone_number": "817-917-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 GRAND AVE",
"address_2": "STE 230",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927631",
"telephone_number": "817-756-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWELL",
"first_name": "SATCHEL",
"middle_name": "PIERCE",
"credential": "B.A., M.A., LPC-I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "71276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.