Active NPI
Nicy Bishop, LMFT
- Marriage & Family Therapist
- Fayetteville, NC
National Provider Identifier
1366919425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2302 | NC | MD | Clinical Psychologist |
| 12085A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biblical Counseling Services | Current | Accepting new patients | |
| Renew Counseling Center of NC LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1629233887
-
- Physician Assistant
- Fayetteville, NC
- NPI 1528470325
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.