Daniel Wayne Bishop, PSY.D
Individual provider Active NPI Counseling Psychologist · Delavan, WI
NPI 1215039201 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1215039201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 320657 (WI)
- Practice address
- 312 S 7TH St Stop 2
Delavan, WI 53115-1964 - Phone
- (262) 374-4444
- Fax
- (844) 247-2735
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20160809000902 | WI | Practitioner - Clinical Psychologist | 3072836360 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14303 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 15348-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 15360-135 | WI | MD | Mental Health Counselor |
| 4047-125 | WI | MD | Professional Counselor |
| 180004694 | IL | MD | Cognitive & Behavioral Psychologist |
| 320657 | WI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Behavioral Clinics, SC | Past | Accepting new patients | |
| Credence Therapy Associates Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15360-135 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15348-132 | WI | |
| Professional Counselor | 101YP2500X | 4047-125 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14303 | IL | |
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | 180004694 | IL | |
| Counseling Psychologist | 103TC1900X | 320657 | WI | Yes |
Addresses
Primary practice location
312 S 7TH St Stop 2
Delavan, WI 53115-1964
Mailing address
191 W South St
Lake Geneva, WI 53147-2417
Phone (262) 374-3445
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dan@bishopcounseling.org | Direct |
Other providers in Delavan, WI
- Sarah Beth Bassett
- Debra J Bednarek
- Benjamin S Johnson DDS SC
- Christina Marie Helgesen Bevry
- Matthew Bible
- Torie Bockey
- Rhonda L. Bodendoerfer
- Brooke E Boss
- Danielle K Brandl
- Kurt E Brueckert
All providers in Delavan, WI · Counseling Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.