Diane Sheryl Bishop, LLPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401015247

Practice address

3300 Lansing Ave
Jackson, MI 49202-1621

Phone

(517) 784-2929

Fax

(517) 784-3030

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1689175481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021621",
            "telephone_number": "517-784-2929",
            "fax_number": "517-784-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021621",
            "telephone_number": "517-784-2929",
            "fax_number": "517-784-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DIANE",
        "middle_name": "SHERYL",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "6401015247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Bigelow, M.D.
• Kelly Lynn Bigg
• Biomedical Designs Inc.
• Savana Bioty
• Ashleigh Robyn Birch
• Justin Jeremy Bishop
• Allison Acker Bissot, O.D.
• William Bradley Bivens, MD
• Bizzy Bee
• Michelle Lynn Black, LLMSW

• Addiction (Substance Use Disorder) Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.