Active NPI
Melissa Diana Bishop
- Professional Counselor
- Deatsville, AL
National Provider Identifier
1144956731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05257
- Practice address
- 2348 County Road 61
Deatsville, AL 36022-3227 - Phone
- (334) 531-0795
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3952A | AL | |
| Professional Counselor | 101YP2500X | LPC05257 | AL | Primary |
Addresses
Primary practice location
2348 County Road 61
Deatsville, AL 36022-3227
Mailing address
1330 County Road 61
Billingsley, AL 36006
Phone (334) 531-0795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001002225 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | redirectivecounseling@gmail.com | Health Information Exchange (HIE) | Redirective Counseling Services, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3952A | AL | MD | Professional Counselor |
| LPC05257 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1144956731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 COUNTY ROAD 61",
"city": "BILLINGSLEY",
"state": "AL",
"postal_code": "36006",
"telephone_number": "334-531-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 COUNTY ROAD 61",
"city": "DEATSVILLE",
"state": "AL",
"postal_code": "360223227",
"telephone_number": "334-531-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MELISSA",
"middle_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C3952A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001002225",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "redirectivecounseling@gmail.com",
"affiliation": "Y",
"endpointDescription": "laptop",
"affiliationName": "Redirective Counseling Services, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1330 County Road 1 N",
"city": "Billingsley",
"state": "AL",
"country_code": "US",
"postal_code": "360063613",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Deatsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.