Stillwater Counseling Associates, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-10704 Issued in AZ

Legal business name

STILLWATER COUNSELING ASSOCIATES, PLLC

Practice address

935 E Main St
Suite 101
Mesa, AZ 85203-8874

Phone

(480) 615-5921

Fax

(480) 615-5921

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen D Charles, MSW, LCSWNPI 1407086754

Title

Clinician

Phone

(480) 251-2156

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Karen D Charles, MSW;LCSW;C-ASWCM

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1407086754
  Authorized official Same address or phone

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1972818342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038874",
            "telephone_number": "480-615-5921",
            "fax_number": "480-615-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038874",
            "telephone_number": "480-615-5921",
            "fax_number": "480-615-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "480-251-2156",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-10704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Stidham II
• Donald Chase Stiers
• Darleisha Renee Stigall
• Michelle Lynn Stillings, PT, DPT
• Stillpoint Wellness, LLC
• Elexyss Ann Stillwaugh, RBT
• Annabell Stimac, CRNA
• Lauren Alysia Stine, FNP-C
• Kimberly Stinson
• Jonathan G Stock, MD

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.