STILLWATERS COUNSELING LLC
NPI 1275638645
Counselor - Mental Health in Blackfoot, ID
About Stillwaters Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STILLWATERS COUNSELING LLC (NPI 1275638645) is a healthcare organization registered as a mental health in Blackfoot, Idaho and active in the NPI registry since September 2006. The organization lists John D Stephenson, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stillwaters Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stillwaters Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stillwaters Counseling LLC's NPI number?
The NPI number for Stillwaters Counseling LLC is 1275638645. It was assigned to this organization in the NPPES registry on September 13, 2006.
Where is Stillwaters Counseling LLC located?
Stillwaters Counseling LLC is located at 1309 Camas St, Blackfoot, ID 83221. The listed phone number is (208) 782-0675.
What is Stillwaters Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stillwaters Counseling LLC enrolled in Medicare?
Yes. Stillwaters Counseling LLC is registered in the Medicare PECOS enrollment system.
When is Stillwaters Counseling LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Stillwaters Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Stillwaters Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stillwaters Counseling LLC accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Stillwaters Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stillwaters Counseling LLC was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stillwaters Counseling Llc · NPI 1275638645
Mental Health organization in Blackfoot, Idaho. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1275638645 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** John Stephenson, OWNER/THERAPIST
## Practice location
- **Address:** 1309 CAMAS ST, Blackfoot, ID 83221-3060
- **Phone:** (208) 782-0675 · **Fax:** (208) 782-0678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2014
- **Other identifiers:** Medicaid 806939500 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1275638645) · Data from the CMS NPPES public registry.