Richard W. Bishop Jr., MA, LAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0016844 Issued in CO

Practice address

315 W South Boulder Rd Ste 110
Louisville, CO 80027-1157

Phone

(850) 572-3178

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jaywalker Lodge Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carbondale, CO
  • NPI 1972901080
  NPD (past)
• Jaywalker Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Carbondale, CO
  • NPI 1750657482
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1285265694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271013",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275017",
            "telephone_number": "850-572-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD STE 110",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271157",
            "telephone_number": "850-572-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_suffix": "Jr.",
        "credential": "MA, LAC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001428",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSED ADDICTION COUNSELOR",
            "identifier": "ACD.0001428",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC.0016844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ruth Berning Murray, DDS
• Cecilia L. Berry, CCC-SLP
• Biodesix, Inc.
• Biodesix, Inc.
• Birch Medical Supplies, LLC
• Mary Elizabeth Bissell, MD
• Bivrell Chiropractic & Rehabilitation Center PLLC
• Paul Frank Bivrell, D.C.
• Dana Leah Bjerke, ND, LAC
• Benjamin Jacob Black, DPT

• All providers in Louisville, CO
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.