Active NPI
Kyle K Bishop, LCPC, LMHC, LPC
- Mental Health Counselor
- Yulee, FL
National Provider Identifier
1245486463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC3434
- Practice address
- 389 Muhly Grass St
Yulee, FL 32097-0097 - Phone
- (301) 481-9823
- NPI assigned
- Aug 8, 2008
- Last updated
- Apr 1, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC014385 | PA | |
| Mental Health Counselor | 101YM0800X | LC3434 | MD | Primary |
| Mental Health Counselor | 101YM0800X | 115767 | IA | |
| Mental Health Counselor | 101YM0800X | MH21880 | FL | |
| Professional Counselor | 101YP2500X | 95035 | TX | |
| Professional Counselor | 101YP2500X | 0701013345 | VA |
Addresses
Primary practice location
389 Muhly Grass St
Yulee, FL 32097-0097
Mailing address
389 Muhly Grass St
Yulee, FL 32097-0097
Phone (301) 481-9823
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Johns Hopkins University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32211
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21880 | FL | MD | Mental Health Counselor |
| 115767 | IA | MD | Mental Health Counselor |
| LC3434 | MD | MD | Mental Health Counselor |
| PC014385 | PA | MD | Mental Health Counselor |
| 95035 | TX | MD | Professional Counselor |
| 0701013345 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau County Mental Health Alcohol & Drug Abuse Council Inc | Current | Accepting new patients | |
| Innerworksinc | Past | Accepting new patients |
Locations
463142 State Road 200
Yulee, FL 32097
Phone (904) 225-8280
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Starting Point Behavioral Healthcare
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yulee, FL
- NPI 1558325050
-
- Community/Behavioral Health Agency
- Great Mills, MD
- NPI 1992840235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1245486463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 MUHLY GRASS ST",
"city": "YULEE",
"state": "FL",
"postal_code": "320970097",
"telephone_number": "301-481-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 MUHLY GRASS ST",
"city": "YULEE",
"state": "FL",
"postal_code": "320970097",
"telephone_number": "301-481-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KYLE",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LCPC, LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC014385",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC3434",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "115767",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21880",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95035",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701013345",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
- Beckerton Chiropractic PLLC (Fernandina Chiropractic Center)
- Thomas Patrick Beckerton, D.C.
- Amy E. Beckham, O.D.
- Beckham's Holdings,LLC
- Jeffrey Paul Berteau
- Lauren Bissette
- Katherine Bizon
- Board of County Commissioners of Nassau County (Nassau County Board of County Commissioners)
- Bold City Dentistry, PA (Aspen Dental)
- Bowels and Beyond Surigal Assisting,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.