DIANE SHERYL BISHOP (NPI# 1689175481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689175481 |
| Entity Type | Individual |
| Full Name | DIANE SHERYL BISHOP |
| Credential | LLPC |
| Practice Address |
3300 Lansing Ave Jackson MI 49202-1621 |
| Practice Telephone | 5177842929 |
| Practice Fax Number | 5177843030 |
| Mailing Telephone | 5177842929 |
| Mailing Fax Number | 5177843030 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6401015247 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245261296 | Diane Lee Bishop | Physical Therapist | 730 N Norma St, Ridgecrest, CA 93555-3521 | 2006-07-06 |
| 1104243963 | Diane Bishop | Case Manager/Care Coordinator | 3500 Ellington St, Charlotte, NC 28211-1102 | 2014-03-18 |
| Street Address |
3300 LANSING AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629101829 | Victory Clinical Services IIi LLC | Clinic/Center | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2007-03-14 |
| 1780290023 | Ashley D Oredsen | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-22 |
| 1932715976 | Amber Sims | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-16 |
| 1104470640 | Carrie Ann Miller | Social Worker | 3300 Lansing Ave, Jackson, MI 49202 | 2019-08-01 |
| 1568921153 | Madison Apperson | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2019-03-14 |
| 1164997672 | Jan Walker | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-10-11 |
| 1467934521 | Lisa Lynn Jarrell | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-09-05 |
| 1750862561 | Julie Ann Hesterman | Social Worker | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-08-29 |
| 1154817922 | Jeanie Roberts | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-07-05 |
| 1386148914 | Matthew Reader | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1760098727 | Anna Marie Jones | Counselor | 32 Portsmouth St, Jackson, OH 45640-1622 | 2020-09-16 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1184184202 | Tracy Dawn Schuh | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-03-24 |
| 1013483858 | Bradley A Tompson | Counselor | 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 | 2018-10-19 |
| 1295237048 | Impact Behavioral Counseling LLC | Counselor | 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 | 2018-03-07 |
| 1942708920 | Candace R Downey | Counselor | 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 | 2018-01-25 |
| 1508379462 | Vicki Lee Harper | Counselor | 295 Broadway St Ste 101, Jackson, OH 45640-1701 | 2017-11-14 |
| 1356867295 | Stephanie Michelle Gilbert | Counselor | 345 E Main St Ste A, Jackson, OH 45640-1780 | 2017-08-22 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DIANE SHERYL BISHOP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.