JAIME BISHOP (LSW, LPC, LPCC) – Professional Counselor, NPI 1023178050

JAIME BISHOP (LSW, LPC, LPCC) is a healthcare provider. based in Chagrin falls, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LSW, LPC, LPCC. They hold a License No. S.0014934 (OH). The NPI Number for JAIME BISHOP (LSW, LPC, LPCC) is 1023178050

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
JAIME BISHOP (LSW, LPC, LPCC)
NPI
1023178050
Phone
(440) 543-8880
Address
17747 CHILLICOTHE RD
Enumeration Date
11 December 2006
Last Update Date
3 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135364673
Graduation Year
1991 (35 years ago)
PAC ID
0547611477
Group Practice PAC ID
7012236409
Professional Enrollment ID
I20240104003744
Address ID
OH450403104MA4075XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for JAIME BISHOP (LSW, LPC, LPCC)

  • Meadow Falls of Chagrin Valley, 5277, Chillicothe Road, Chagrin Lakes, McFarlands Corners, South Russell, Bainbridge Township, Geauga County, Ohio, 44022, United States

    SUITE 105

    CHAGRIN FALLS, OH 440234739

    Phone: (440) 543-8880

    Fax: (440) 543-5911

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240104003744IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012236409View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
-IL
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do I look up JAIME BISHOP (LSW, LPC, LPCC) by NPI?
Use NPI 1023178050 when you need to reference JAIME BISHOP (LSW, LPC, LPCC) in forms, claims, or directories.
Is JAIME BISHOP (LSW, LPC, LPCC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JAIME BISHOP (LSW, LPC, LPCC) list a primary specialty?
If you are matching referrals, note Professional Counselor for JAIME BISHOP (LSW, LPC, LPCC). Clinical services aligned with this taxonomy classification.
Where does public data place JAIME BISHOP (LSW, LPC, LPCC)?
The snapshot lists Chagrin Falls, Ohio for JAIME BISHOP (LSW, LPC, LPCC); download NPPES for the complete set.
What if Chagrin Falls, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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