Active NPI
Caitlin Jean Bishop, MA, LPCC
- Mental Health Counselor
- Brooklyn Park, MN
National Provider Identifier
1679051163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1883
- Practice address
- 5500 94TH Ave N
Brooklyn Park, MN 55443-1992 - Phone
- (763) 762-6800
- NPI assigned
- Aug 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1883 | MN | Primary |
Addresses
Primary practice location
5500 94TH Ave N
Brooklyn Park, MN 55443-1992
Mailing address
5500 94TH Ave N
Brooklyn Park, MN 55443-1992
Phone (763) 762-9561
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1883 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairiecare LLC | Past | Accepting new patients | |
| St. Croix Psychiatric, LLC | Mental Health | Past | Accepting new patients |
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.
-
dba PrairieCare Medical Group
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1679051163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 94TH AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431992",
"telephone_number": "763-762-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 94TH AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431992",
"telephone_number": "763-762-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "CAITLIN",
"middle_name": "JEAN",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "1883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.