Individual provider Active NPI

Biddy Sherman Bishop, MA, CRC, CDMS

  • Rehabilitation Counselor
  • Huntington, NY
National Provider Identifier
1659453124
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
C-18090 Issued in NY
Practice address
33 Gibson Ave
Huntington, NY 11743-2719
Phone
(631) 385-2068
Fax
(631) 385-2068
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X C-18090 NY
Counselor 101Y00000X C-18090 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X C-18090 NY
Mental Health Counselor 101YM0800X C-18090 NY
Rehabilitation Counselor 225C00000X C-18090 NY Primary
Case Manager/Care Coordinator 171M00000X 00003636 NY

Addresses

Primary practice location

33 Gibson Ave
Huntington, NY 11743-2719

Mailing address

33 Gibson Ave
Huntington, NY 11743-2719
Phone (631) 385-2068

Other identifiers 1

IdentifierTypeStateIssuer
1659453124MedicaidNY

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C-18090NYMDCounselor
00003636NYMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1659453124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GIBSON AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432719",
            "telephone_number": "631-385-2068",
            "fax_number": "631-385-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GIBSON AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432719",
            "telephone_number": "631-385-2068",
            "fax_number": "631-385-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BIDDY",
        "middle_name": "SHERMAN",
        "credential": "MA, CRC, CDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "C-18090",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "C-18090",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "C-18090",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "C-18090",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NY",
            "license": "C-18090",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "00003636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659453124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.