Active NPI
Khoi Charles Bishop, LPC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1437308236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2656
- Practice address
- 1401 20TH St S
Birmingham, AL 35205-4913 - Phone
- (205) 510-2761
- Fax
- (205) 510-2790
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2656 | AL | Primary |
Addresses
Primary practice location
1401 20TH St S
Birmingham, AL 35205-4913
Mailing address
1401 South 20TH Street
Birmingham, AL 35205
Phone (205) 510-2761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330000034 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2656 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1437308236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SOUTH 20TH STREET",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-510-2761",
"fax_number": "205-510-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054913",
"telephone_number": "205-510-2761",
"fax_number": "205-510-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KHOI",
"middle_name": "CHARLES",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000034",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.