Meredith K Stutts, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2407C Issued in AL

Practice address

129 E Park Cir
Birmingham, AL 35235-3000

Phone

(205) 836-7283

Fax

(205) 836-9594

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eastside Mental Health Center

  • Counselor
  • Birmingham, AL
  • NPI 1023283421
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1841829942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 MONTCLAIR RD STE 205",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132416",
            "telephone_number": "205-278-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E PARK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353000",
            "telephone_number": "205-836-7283",
            "fax_number": "205-836-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTTS",
        "first_name": "MEREDITH",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2407C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ALABAMA",
            "identifier": "00000000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Sturdevant, M.D.
• Susan Sturdivant
• Vickie Sturdivant, CRNP
• Alvin W Sturgis, RN
• Kathy H. Stutsman, CCC-SLP
• STV Cardiology Clinic LLC
• STV Cardiothoracic Surgeons LLC
• STV Neuro I LLC
• STV Pulmonary Group LLC
• STV Sports Medicine & Orthopedics LLC

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.