Alexandria Diane Bishop, LMHC, ATR
Individual provider Active NPI Behavior Analyst · Beech Grove, IN
NPI 1053804351 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1053804351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3224 S Emerson Ave
Beech Grove, IN 46107-3339 - Phone
- (812) 777-8002
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3224 S Emerson Ave
Beech Grove, IN 46107-3339
Phone (812) 777-8002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904001921 | IN | Practitioner - Mental Health Counselor | 2769984335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004395A | IN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of the Heart LLC | Mental Health | Current |
Accepting new patients |
Locations
3224 S Emerson Ave
Beech Grove, IN 46107
Phone (812) 777-8002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39004395A | IN | |
| Mental Health Counselor | 101YM0800X | 39004395A | IN | |
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3224 S Emerson Ave
Beech Grove, IN 46107-3339
Mailing address
3224 S Emerson Ave
Beech Grove, IN 46107-3339
Phone (812) 777-8002
Other providers in Beech Grove, IN
- Beech Grove City Schools
- Beech Grove Fire Department
- Laurence Waln Behney
- Belis Healthcare Solution LLC
- Biovanta Diagnostics LLC
- Jennifer Black
- Jack E Bonham
- Matthew Bussard
- Mark A Caldemeyer
- Mikayla Campbell
All providers in Beech Grove, IN · Behavior Analyst in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.