| Stillwaters Counseling Llc | |
|
1309 Camas St Blackfoot ID 83221-3060 | |
| (208) 782-0675 | |
| (208) 782-0678 |
| Full Name | Stillwaters Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1309 Camas St, Blackfoot, Idaho |
| Authorized Official Name and Position | John D Stephenson (OWNER/THERAPIST) |
| Authorized Official Contact | 2087820675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Counseling Llc Po Box 903 Blackfoot ID 83221-0903 Ph: (208) 782-0675 | Stillwaters Counseling Llc 1309 Camas St Blackfoot ID 83221-3060 Ph: (208) 782-0675 |
| NPI Number | 1275638645 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/04/2014 |
| Medicare PECOS PAC ID | 2466412051 |
|---|---|
| Medicare Enrollment ID | O20041020000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275638645 | NPI | - | NPPES |
| 806939500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW-261187 (Idaho) | Primary |
| 251B00000X | Case Management | LCSW-261187 (Idaho) | Secondary |
| Provider Name | Terri L Muegerl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245368398 PECOS PAC ID: 6103002316 Enrollment ID: I20121016000352 |
| Provider Name | John D Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528126158 PECOS PAC ID: 4789645151 Enrollment ID: I20141126001722 |
| Provider Name | Savanah Shae Packard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730830811 PECOS PAC ID: 4082055793 Enrollment ID: I20240513002368 |
United Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 W Bridge St, Blackfoot, ID 83221 Phone: 208-200-9515 | |
State Hospital South Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-8506 Fax: 208-785-8518 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Broadway St, Blackfoot, ID 83221 Phone: 208-785-1326 Fax: 208-785-1396 | |
Idaho Dept Of Health & Welfare Reg 7 Amh Bf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 E Alice, Blackfoot, ID 83221 Phone: 208-785-5871 Fax: 208-785-5877 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
Blackfoot Medical Clinic Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |