Organization Active NPI

Still Waters Counseling, Inc

  • Professional Counselor
  • Valdese, NC
National Provider Identifier
1861664476
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5070 Issued in NC
Legal business name
STILL WATERS COUNSELING, INC
Practice address
400 Main St W
Valdese, NC 28690
Phone
(828) 612-8064
NPI assigned
Mar 24, 2008
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Ms. Beth Elaine Brannon, LPC
Title
Therapist
Phone
(828) 612-8064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5070 NC Primary

Addresses

Primary practice location

400 Main St W
Valdese, NC 28690

Mailing address

PO Box 6337
Hickory, NC 28603-6403
Phone (828) 612-8064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1861664476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6337",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286036403",
            "telephone_number": "828-612-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST W",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "28690",
            "telephone_number": "828-612-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "828-612-8064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.