Individual provider Active NPI

Kyle K Bishop, LCPC, LMHC, LPC

  • Mental Health Counselor
  • Yulee, FL
National Provider Identifier
1245486463
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3434 Issued in MD
Practice address
389 Muhly Grass St
Yulee, FL 32097-0097
Phone
(301) 481-9823
NPI assigned
Aug 8, 2008
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000754 FL Practitioner - Mental Health Counselor 4880198530 Reassigns benefits to 2 organizations

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
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21880FLMDMental Health Counselor
115767IAMDMental Health Counselor
LC3434MDMDMental Health Counselor
PC014385PAMDMental Health Counselor
95035TXMDProfessional Counselor
0701013345VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau County Mental Health Alcohol & Drug Abuse Council Inc CurrentSince Sep 9, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.