Individual provider Active NPI

Ryan Bishop, LPC

  • Professional Counselor
  • Lenhartsville, PA
National Provider Identifier
1194235531
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009669 Issued in PA
Practice address
1240 Old 22
Lenhartsville, PA 19534-9338
Phone
(610) 393-7778
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009669 PA Primary

Addresses

Primary practice location

1240 Old 22
Lenhartsville, PA 19534-9338

Mailing address

1240 Old 22
Lenhartsville, PA 19534-9338
Phone (610) 393-7778

Other practice location 1

67 Meadowbrook Rd
North Wales, PA 19454-3651
Phone (610) 393-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240104004831 FL Practitioner - Mental Health Counselor 3678924537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC009669PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194235531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 OLD 22",
            "city": "LENHARTSVILLE",
            "state": "PA",
            "postal_code": "195349338",
            "telephone_number": "610-393-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 OLD 22",
            "city": "LENHARTSVILLE",
            "state": "PA",
            "postal_code": "195349338",
            "telephone_number": "610-393-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Meadowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194543651",
            "country_code": "US",
            "telephone_number": "610-393-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenhartsville, PA

Sources for this page

Verify at the official NPI Registry.