Individual provider Active NPI

Jaime Bishop, LSW, LPC, LPCC

  • Professional Counselor
  • Chagrin Falls, OH
National Provider Identifier
1023178050
Registry record updated Sep 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1600033 Issued in OH
Practice address
17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739
Phone
(440) 543-8880
Fax
(440) 543-5911
NPI assigned
Dec 11, 2006
Last updated
Sep 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013546 MI
Professional Counselor 101YP2500X E.1600033 OH Primary
Social Worker 104100000X S.0014934 OH

Addresses

Primary practice location

17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739

Mailing address

17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739
Phone (440) 543-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240104003744 OH Practitioner - Mental Health Counselor 0547611477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lindner Center of Hope Professional AssociatesGroup PAC ID 7012236409, 72 clinicians

Practice addresses (Care Compare)

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401013546MIMDCounselor
S.0014934OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Craig and Frances Lindner Center of Hope CurrentSince Jun 9, 2025 Accepting new patients
Crossroads Health CurrentSince Jan 1, 2024 Accepting new patients
Lindner Center of Hope Professional Associates Social Worker CurrentSince Jun 9, 2025 Accepting new patients
Crossroads Health CurrentSince Jan 1, 2024 Accepting new patients
Genesis Counseling Center, Inc. PastSince Sep 2, 2009 Accepting new patients

Locations

4075 Old Western Row Rd
Mason, OH 45040
Phone (513) 536-0232

8445 Munson Rd
Mentor, OH 44060

9220 Mentor Ave
Mentor, OH 44060
Phone (440) 354-9924

1083 Mentor Ave
Painesville, OH 44077
Phone (440) 358-7370

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472860800000",
    "number": "1023178050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "SUITE 105",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-8880",
            "fax_number": "440-543-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "SUITE 105",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-8880",
            "fax_number": "440-543-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JAIME",
        "credential": "LSW, LPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013546",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600033",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0014934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.