Individual provider Active NPI

Kazandra Bishop, LMFTA

  • Marriage & Family Therapist
  • Concord, NC
National Provider Identifier
1225754260
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12460A Issued in NC
Practice address
11 Union St S Ste 206
Concord, NC 28025-1004
Phone
(704) 918-9741
Fax
(704) 270-6213
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12460A NC Primary

Addresses

Primary practice location

11 Union St S Ste 206
Concord, NC 28025-1004

Mailing address

11 Union St S Ste 206
Concord, NC 28025-1004
Phone (704) 918-9741

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

LicenseStateTypeSpecialty
12460ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Hope Family Counseling, PLLC Marriage & Family Therapist Current Accepting new patients
Victory Family Counseling PastSince Oct 16, 2022 Accepting new patients

Locations

715 Fairgrove Church Rd SE
Ste 202
Conover, NC 28613
Phone (828) 615-8668

345 4th St NW
Hickory, NC 28601
Phone (704) 237-0104

Organizations & group practices 2

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1225754260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 206",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251004",
            "telephone_number": "704-918-9741",
            "fax_number": "704-270-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 206",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251004",
            "telephone_number": "704-918-9741",
            "fax_number": "704-270-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KAZANDRA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12460A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.