Organization Active NPI

Alabama Wellness and Recovery Services, LLC

  • Counselor
  • Birmingham, AL
National Provider Identifier
1902236334
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C2055A Issued in AL
Legal business name
ALABAMA WELLNESS AND RECOVERY SERVICES, LLC
Practice address
4898 Valleydale Rd
Suite B-1
Birmingham, AL 35242-4654
Phone
(205) 306-1164
NPI assigned
Nov 21, 2013
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Janet Stoudenmire, MS, ALC, ICADC, SAPNPI 1568545804
Title
Owner
Phone
(205) 306-1164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C2055A AL Primary

Addresses

Primary practice location

4898 Valleydale Rd
Suite B-1
Birmingham, AL 35242-4654

Mailing address

4898 Valleydale Rd
Suite B-1
Birmingham, AL 35242-4654
Phone (205) 306-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319000275 AL Part B Supplier - Clinic/Group Practice 0345762480 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL

National Provider Directory

National Provider Directory

Locations

1530 3rd Ave N
Bessemer, AL 35020
Phone (205) 795-3410

4898 Valleydale Rd
Ste B1
Birmingham, AL 35242
Phone (205) 306-1164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1902236334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 VALLEYDALE RD",
            "address_2": "SUITE B-1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424654",
            "telephone_number": "205-306-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 VALLEYDALE RD",
            "address_2": "SUITE B-1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424654",
            "telephone_number": "205-306-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA WELLNESS AND RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "STOUDENMIRE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-306-1164",
        "authorized_official_credential": "MS, ALC, ICADC, SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C2055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.