Active NPI
Stacy Bishop
- Professional Counselor
- Tampa, FL
National Provider Identifier
1619660776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 23436
- Practice address
- 13801 N Dale Mabry Hwy
Tampa, FL 33618-2412 - Phone
- (813) 515-9602
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 2, 2023
- Sex
- Female
- 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 | 23436 | FL | Primary |
Addresses
Primary practice location
13801 N Dale Mabry Hwy
Tampa, FL 33618-2412
Mailing address
901 W West St
Tampa, FL 33602-1139
Phone (813) 966-7912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 13, 2025 through May 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23436 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1619660776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W WEST ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336021139",
"telephone_number": "813-966-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182412",
"telephone_number": "813-515-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "23436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.