Individual provider Active NPI

Barbara Dulaney Bishop, ED D LMHC

  • Counselor
  • Ponte Vedra Beach, FL
National Provider Identifier
1669490363
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH1901 Issued in FL
Practice address
6000A Sawgrass Village Circle
Suite 12
Ponte Vedra Beach, FL 32082
Phone
(904) 280-0448
Fax
(904) 273-7430
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH1901 FL Primary

Addresses

Primary practice location

6000A Sawgrass Village Circle
Suite 12
Ponte Vedra Beach, FL 32082

Mailing address

6000A Sawgrass Village Circle
Suite 12
Ponte Vedra Beach, FL 32082
Phone (904) 280-0448

Other identifiers 4

IdentifierTypeStateIssuer
56376742OtherUNITED BEHAVIORAL HEALTH
7278112OtherAETNA
186095OtherPHCS
Z2480OtherBCBS

Other names 1

  • Dr. Barbara Miller Bishop Former name

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

LicenseStateTypeSpecialty
MH1901FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669490363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000A SAWGRASS VILLAGE CIRCLE",
            "address_2": "SUITE 12",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-280-0448",
            "fax_number": "904-273-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000A SAWGRASS VILLAGE CIRCLE",
            "address_2": "SUITE 12",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-280-0448",
            "fax_number": "904-273-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BARBARA",
        "middle_name": "DULANEY",
        "name_prefix": "Dr.",
        "credential": "ED D LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "56376742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7278112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "186095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z2480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BISHOP",
            "middle_name": "MILLER",
            "prefix": "DR.",
            "credential": "ED D LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.