STILLWATERS COUNSELING LLC NPI 1275638645

NPI Information

  • NPI: 1275638645
  • Provider Name: STILLWATERS COUNSELING LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1309 CAMAS ST
    BLACKFOOT, ID
    ZIP 83221
  • Phone: (208) 782-0675

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NPI Details

STILLWATERS COUNSELING LLC is a mental health counselor in Blackfoot, ID. STILLWATERS COUNSELING LLC NPI is 1275638645. The provider is registered as an organization entity type.

The provider's business location address is:

1309 CAMAS ST
BLACKFOOT, ID
ZIP 83221-060
Phone: (208) 782-0675
Fax: (208) 782-0678

The provider's authorized official is John D Stephenson .
The authorized official title is Owner/therapist and has the following contact phone number (208) 782-0675.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementLCSW-261187IDAHONo
2101YM0800XCounselorMental HealthLCSW-261187IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1806939500MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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