EASTSIDE MENTAL HEALTH CENTER (NPI# 1023283421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023283421 |
| Entity Type | Organization |
| Organization Name | EASTSIDE MENTAL HEALTH CENTER |
| Practice Address |
129 E Park Cir Birmingham AL 35235-3000 |
| Practice Telephone | 2058367283 |
| Practice Fax Number | 2058369594 |
| Mailing Telephone | 2058367283 |
| Mailing Fax Number | 2058369594 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MRS. BEVERLY FRANCIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2058367283 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS ALLKIDS PLUS NUMBER | 051511690 | 01 |
| Street Address |
129 E PARK CIR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108192 | Terri S Steele | Psychiatry & Neurology | 129 E Park Cir, Birmingham, AL 35235-3000 | 2006-07-18 |
| 1841829942 | Meredith K Stutts | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2020-04-02 |
| 1497393581 | Tanekia Danielle Smith | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2019-12-19 |
| 1013562123 | Clifford A Wright | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2019-08-06 |
| 1295289031 | Kimberly E Hyden | Social Worker | 129 E Park Cir, Birmingham, AL 35235-3000 | 2016-08-10 |
| 1407227861 | Yuliya Spencer | Nurse Practitioner | 129 E Park Cir, Birmingham, AL 35235-3000 | 2015-10-12 |
| 1730524513 | Courtney Benjamin | Counselor | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-05-07 |
| 1184067605 | Dolores Ann Guschke | Registered Nurse | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-04-15 |
| 1689917676 | Darrell Ann Carr | Registered Nurse | 129 E Park Cir, Birmingham, AL 35235-3000 | 2013-03-28 |
| 1871840199 | Phillip Plemons | Nurse Practitioner | 129 E Park Cir, Birmingham, AL 35235-3000 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1558988576 | Shalisha Curry | Counselor | 2543 Hampstead Dr, Birmingham, AL 35235-5002 | 2020-06-26 |
| 1669009452 | Faye Ann White | Counselor | 8532 Valley Hill Drive, Birmingham, AL 35206 | 2020-03-24 |
| 1245892249 | Intentional Healing, LLC | Counselor | 1401 Providence Park Ste 250, Birmingham, AL 35242-4694 | 2019-07-01 |
| 1003371865 | Alabama Behavioral Care LLC | Counselor | 1530 2nd Ave N, Birmingham, AL 35203-1825 | 2019-02-06 |
| 1902379480 | Keeyana Gaynell Mclish | Counselor | 1025 23rd St S Ste 315, Birmingham, AL 35205-2499 | 2019-01-07 |
| 1063901833 | Inneressence Counseling and Clinical Hypnotherapy | Counselor | 380 N Old Woodward Ave Ste 156, Birmingham, MI 48009-5307 | 2018-05-07 |
| 1144746371 | Christa Whitacre | Counselor | 108 Brook Highland Ln, Birmingham, AL 35242-5301 | 2017-08-18 |
| 1568903029 | Jerrold Langford | Counselor | 1337 Bush Blvd W, Birmingham, AL 35208-4930 | 2017-03-16 |
| 1326583683 | Elizabeth Shahid | Counselor | 1821 11th Ave S # 550024, Birmingham, AL 35205-4807 | 2016-12-22 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.