Organization Active NPI

Stillwaters Counseling Services

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1912156498
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC004719 Issued in GA
Legal business name
STILLWATERS COUNSELING SERVICES
Practice address
268 Village Parkway
Marietta, GA 30067
Phone
(770) 955-3733
Fax
(770) 955-3739
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mrs. Beverly C Elliott, MS,LPC,NCC
Title
Therapist/Owner
Phone
(770) 955-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC004719 GA Primary

Addresses

Primary practice location

268 Village Parkway
Marietta, GA 30067

Mailing address

268 Village Parkway
Marietta, GA 30067
Phone (770) 955-3733

National Provider Directory

National Provider Directory

Locations

255 Village Pkwy NE
Ste 510
Marietta, GA 30067
Phone (770) 955-3733

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1912156498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 VILLAGE PARKWAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30067",
            "telephone_number": "770-955-3733",
            "fax_number": "770-955-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 VILLAGE PARKWAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30067",
            "telephone_number": "770-955-3733",
            "fax_number": "770-955-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "770-955-3733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.