Monique Y Bivins, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005531 Issued in PA

Practice address

15667 State Hwy 86
Meadville, PA 16335-5317

Phone

(814) 282-5452

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1023323706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C6 CONCORD HOUSE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351068",
            "telephone_number": "814-282-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15667 STATE HWY 86",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163355317",
            "telephone_number": "814-282-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVINS",
        "first_name": "MONIQUE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jolene Bevacqua, DPT
• Marian R Bideaux
• Kelly Kae Bidwell, LCSW
• Cinda R Bilinski, LPC
• Barry Barnett Bittman, M.D.
• Robert Lee Black III, PA-C
• Samantha N Black, CRNP
• Christina Blasinski, LSW
• Nikki Blattenberger, PHARMD
• Thea Marie Blystone, PHARMD.

• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.