Individual provider Active NPI

Benjamin Stillwell

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1578050373
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5501 Highway 280 Ste 302
Birmingham, AL 35242-6536
Phone
(205) 203-9111
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5501 Highway 280 Ste 302
Birmingham, AL 35242-6536

Mailing address

5501 Highway 280 Ste 302
Birmingham, AL 35242-6536
Phone (205) 203-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410002395 AL Practitioner - Mental Health Counselor 2466890462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Stillwell Mental Health LLCGroup PAC ID 1557709557, 3 clinicians

Practice addresses (Care Compare)

2 Perimeter Park S
Suite 435E
Birmingham, AL 35243-3218
Phone (205) 203-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwell Mental Health LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

5501 Highway 280
Ste 302
Birmingham, AL 35242
Phone (205) 203-9111

2 Perimeter Park S
Ste 435E
Birmingham, AL 35243
Phone (205) 203-9111

3105 Sunview Dr
Unit 43285
Vestavia, AL 35243

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1578050373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 HIGHWAY 280 STE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426536",
            "telephone_number": "205-203-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HIGHWAY 280 STE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426536",
            "telephone_number": "205-203-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.