Individual provider Active NPI

Marianne S Castano Bishop, EDD, MED, MS, LMHCA

  • Mental Health Counselor
  • South Bend, IN
National Provider Identifier
1780198986
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000328A Issued in IN
Practice address
3516 E Jefferson Blvd
South Bend, IN 46615-3034
Phone
(574) 287-4197
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000328A IN Primary

Addresses

Primary practice location

3516 E Jefferson Blvd
South Bend, IN 46615-3034

Mailing address

1001 S 31St St
South Bend, IN 46615-1821
Phone (781) 367-7080

Other practice location 1

1001 S 31st St
South Bend, IN 46615-1821
Phone (781) 367-7080

Other names 1

  • Dr. Marianne Castano Bishop Other 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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
88000328AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Society of St. Joseph County PastSince Jul 1, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780198986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 31ST ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151821",
            "telephone_number": "781-367-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153034",
            "telephone_number": "574-287-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S 31st St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466151821",
            "country_code": "US",
            "telephone_number": "781-367-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANO BISHOP",
        "first_name": "MARIANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "EDD, MED, MS, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "BISHOP",
            "middle_name": "CASTANO",
            "prefix": "DR.",
            "credential": "EDD, MED, MS, LMHCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.