Active NPI
William Lee Bishop, L.C.S.W.
- Mental Health Counselor
- Troy, IL
National Provider Identifier
1225397136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 149.011023
- Practice address
- 132 Taylor Lake Dr
Troy, IL 62294-1298 - Phone
- (618) 314-0172
- NPI assigned
- May 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149.011023 | IL | Primary |
Addresses
Primary practice location
132 Taylor Lake Dr
Troy, IL 62294-1298
Mailing address
132 Taylor Lake Dr
Troy, IL 62294-1298
Phone (618) 314-0172
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 |
|---|---|---|---|
| 149.011023 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367107200000",
"number": "1225397136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 TAYLOR LAKE DR",
"city": "TROY",
"state": "IL",
"postal_code": "622941298",
"telephone_number": "618-314-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 TAYLOR LAKE DR",
"city": "TROY",
"state": "IL",
"postal_code": "622941298",
"telephone_number": "618-314-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "WILLIAM",
"middle_name": "LEE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2013-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.011023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.