Melissa Bishop, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.19011483 Issued in OH

Practice address

12557 Ravenwood Dr
Chardon, OH 44024-9009

Phone

(440) 285-3568

Fax

(440) 285-2207

NPI assigned

Nov 10, 2015

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ravenwood Mental Health Center 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ravenwood Mental Health Center

  • Community/Behavioral Health Agency
  • Chardon, OH
  • NPI 1730356296

  OH

  Medicare reassignment Care Compare group NPD
• Ravenwood Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chardon, OH
  • NPI 1053345975
  Care Compare group
• Ravenwood Mental Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Chardon, OH
  • NPI 1912265794
  NPD
• Ravenwood Mental Health Center

  • General Practice Physician
  • Chardon, OH
  • NPI 1932666740
  NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1891168076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BONNIE LN",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441241874",
            "telephone_number": "330-990-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12557 RAVENWOOD DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249009",
            "telephone_number": "440-285-3568",
            "fax_number": "440-285-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MELISSA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.19011483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khari Bess
• Eva L Bhadra, MD
• Shivam Bhavesh Bhatt, DO
• Carrissa Bihlajama
• Natalie Bilbrey
• Kelly Black
• Jessica Jenelle Blaha, MA CCC-SLP
• William C Blair
• Cameron Blank, PA
• Hannah Marie Blanton, DO

• All providers in Chardon, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.