Individual provider Active NPI

Shan Elizabeth Bishop

  • Mental Health Counselor
  • Franklin, MA
National Provider Identifier
1033828900
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1 Anchorage Rd
Franklin, MA 02038-1501
Phone
(774) 571-5733
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 379167 MA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1 Anchorage Rd
Franklin, MA 02038-1501

Mailing address

1 Anchorage Rd
Franklin, MA 02038-1501
Phone (774) 571-5733

Other practice location 1

2 Master Dr
Franklin, MA 02038-3052
Phone (617) 958-6318

Other names 1

  • Shan Elizabeth Cantrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260505002583 MA Practitioner - Mental Health Counselor 2466920731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Handel Behavioral Health Services IncGroup PAC ID 6305285289, 24 clinicians

Practice addresses (Care Compare)

2 Master Dr
Franklin, MA 02038-3052
Phone (413) 343-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
379167MAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Handel Behavioral Health Services Inc Past Accepting new patients

Organizations & group practices 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1033828900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANCHORAGE RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381501",
            "telephone_number": "774-571-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANCHORAGE RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381501",
            "telephone_number": "774-571-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Master Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "MA",
            "postal_code": "020383052",
            "country_code": "US",
            "telephone_number": "617-958-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "SHAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "379167",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAN",
            "last_name": "CANTRELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, MA

Sources for this page

Verify at the official NPI Registry.