Jennifer Marie Bishop, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Noblesville, IN
NPI 1043964802 · NPPES record last updated Feb 9, 2022
Key facts
- NPI
- 1043964802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 86000407A (IN)
- Practice address
- 15152 Beam St
Noblesville, IN 46060-4696 - Phone
- (217) 637-2285
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86000407A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000407A | IN | Yes |
Addresses
Primary practice location
15152 Beam St
Noblesville, IN 46060-4696
Mailing address
15152 Beam St
Noblesville, IN 46060-4696
Phone (217) 637-2285
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All providers in Noblesville, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.