NPIMap

Individual provider Active NPI

Shannon Bishop

  • Addiction (Substance Use Disorder) Counselor
  • Marion, OH
National Provider Identifier
1679124077
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
151086 Issued in OH
Practice address
333 E Center St Ste 302
Marion, OH 43302-4142
Phone
(740) 751-4078
NPI assigned
Sep 26, 2019
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 151086 OH Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

333 E Center St Ste 302
Marion, OH 43302-4142

Mailing address

115 Moore Craycraft Rd
South Shore, KY 41175-7704
Phone (207) 602-8683

Other practice location 1

827 N Main St
Marion, OH 43302
Phone (740) 914-5000

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
151086OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Recovery, Inc Current Accepting new patients
Rise Up Recovery, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Phoenix Center, Inc. Addiction (Substance Use Disorder) PastSince Oct 1, 2019 Accepting new patients
Phoenix Center, Inc. PastSince Sep 1, 2019 Accepting new patients
Ru Transports, LLC PastSince Apr 28, 2024 Accepting new patients
Day One Integrative Services LLC. Past Accepting new patients

Locations

333 E Center St
Ste 302
Marion, OH 43302
Phone (740) 751-4078

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1679124077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MOORE CRAYCRAFT RD",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411757704",
            "telephone_number": "207-602-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CENTER ST STE 302",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024142",
            "telephone_number": "740-751-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 N Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "43302",
            "country_code": "US",
            "telephone_number": "740-914-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151086",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.