Healthcare Provider Details

I. General information

NPI: 1699693465
Provider Name (Legal Business Name): STILL POINT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 S FREMONT AVE
SPRINGFIELD MO
65804-1151
US

IV. Provider business mailing address

1330 E ELM ST APT 4
SPRINGFIELD MO
65802-3499
US

V. Phone/Fax

Practice location:
  • Phone: 417-887-9950
  • Fax:
Mailing address:
  • Phone: 541-650-1485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACOB ROSS BRADEN
Title or Position: OWNER
Credential: MS, LPC
Phone: 417-597-4881