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

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, LCSW

Title

Clinician

Phone

(480) 251-2156

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1407086754",
            "state": "AZ"
        }
    ],
    "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.