STILLWATERS COUNSELING OF SW FLORIDA PLLC
NPI 1376140343
Counselor - Mental Health in Port Charlotte, FL

Active since October 02, 2020
1720 EL JOBEAN RD UNIT 106, PORT CHARLOTTE, FL 33948(941) 204-9038(941) 240-0091 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2024, Sep 6, 2023, Oct 2, 2020 (3 updates tracked since 2020).

About Stillwaters Counseling Of Sw Florida Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STILLWATERS COUNSELING OF SW FLORIDA PLLC (NPI 1376140343) is a healthcare organization registered as a mental health in Port Charlotte, Florida and active in the NPI registry since October 2020. The organization lists Deborah Jean Leahy, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1376140343
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSTILLWATERS COUNSELING OF SW FLORIDA PLLC
Location Address1720 EL JOBEAN RD UNIT 106Port Charlotte, FL 33948-1286
Mailing Address1720 El Jobean Rd Unit 106Port Charlotte, FL 33948-1286 · (941) 204-9038 · Fax (941) 240-0091
Fax(941) 240-0091
Organization SubpartNo
Authorized OfficialDeborah Jean LeahyManager/owner · (941) 204-9038
Enumeration DateOctober 2, 2020
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1376140343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1720 EL JOBEAN RD UNIT 106, Port Charlotte, FL 33948

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stillwaters Counseling Of Sw Florida Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stillwaters Counseling Of SW Florida PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1891269866
18501 MURDOCK CIR STE 104
Port Charlotte, FL 33948
(941) 204-9038
✔ PECOS1.6 mi

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 Of SW Florida PLLC's NPI number?

The NPI number for Stillwaters Counseling Of SW Florida PLLC is 1376140343. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Stillwaters Counseling Of SW Florida PLLC located?

Stillwaters Counseling Of SW Florida PLLC is located at 1720 El Jobean Rd Unit 106, Port Charlotte, FL 33948. The listed phone number is (941) 204-9038.

What is Stillwaters Counseling Of SW Florida PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stillwaters Counseling Of SW Florida PLLC enrolled in Medicare?

Yes. Stillwaters Counseling Of SW Florida PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stillwaters Counseling Of SW Florida PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Stillwaters Counseling Of SW Florida PLLC. 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.

When was this NPI record last updated?

The NPPES record for Stillwaters Counseling Of SW Florida PLLC was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.