Individual provider Active NPI

Nicy Bishop, LMFT

  • Marriage & Family Therapist
  • Fayetteville, NC
National Provider Identifier
1366919425
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2302 Issued in NC
Practice address
901 Arsenal Ave Ste 201
Fayetteville, NC 28305-5478
Phone
(910) 323-3368
Fax
(910) 491-0833
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12085A NC
Marriage & Family Therapist 106H00000X 2302 NC Primary

Addresses

Primary practice location

901 Arsenal Ave Ste 201
Fayetteville, NC 28305-5478

Mailing address

35 Blue Pine Dr
Spring Lake, NC 28390-9176
Phone (254) 630-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240326002962 NC Practitioner - Marriage and Family Therapist 1658718630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2302NCMDClinical Psychologist
12085ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Biblical Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
Renew Counseling Center of NC LLC PastSince Jul 25, 2017 Accepting new patients

Locations

901 Arsenal Ave
Ste 201
Fayetteville, NC 28305
Phone (910) 323-3368

901 Arsenal Ave
Ste 202
Fayetteville, NC 28305
Phone (910) 323-3368

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1366919425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BLUE PINE DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283909176",
            "telephone_number": "254-630-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-491-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "NICY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12085A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.