Active NPI
Tammy Kay Stutler, MS, LPC
- Mental Health Counselor
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3059
- Practice address
- 120 Professional PL Ste 101
Bridgeport, WV 26330-4599 - Phone
- (304) 513-3495
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3059 | WV | Primary |
| Professional Counselor | 101YP2500X | 6487 | SC |
Addresses
Primary practice location
120 Professional PL Ste 101
Bridgeport, WV 26330-4599
Mailing address
801 47TH Ave N
Myrtle Beach, SC 29577-5402
Phone (843) 997-1538
Other practice location 1
801 47th Ave N
Myrtle Beach, SC 29577-5402
Phone (843) 997-1538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376241 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Professional PL
Bridgeport, WV 26330-4599
Phone (304) 460-5123
207 Fairmont Ave
Fairmont, WV 26554-2710
Phone (689) 404-6869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6487 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Mental Health | Current | Accepting new patients |
| GR&W, Inc | Past | Accepting new patients |
Locations
207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Appalachian Life Enrichment Counseling Center
- Psychologist
- Fairmont, WV
- NPI 1568928877
Mental Health
-
- Counselor
- Murrells Inlet, SC
- NPI 1467068585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1922354331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 47TH AVE N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775402",
"telephone_number": "843-997-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROFESSIONAL PL STE 101",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-513-3495"
}
],
"practiceLocations": [
{
"address_1": "801 47th Ave N",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295775402",
"country_code": "US",
"telephone_number": "843-997-1538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUTLER",
"first_name": "TAMMY",
"middle_name": "KAY",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "3059",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6487",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376241",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.