MRS. LISA REISDORF BISHOP
NPI 1235166539
Counselor - Mental Health in St Augustine, FL
About Mrs. Lisa Reisdorf Bishop NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA REISDORF BISHOP (NPI 1235166539) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH 7777) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Lisa Reisdorf Bishop is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Bishop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 178 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST AUGUSTINE, FL 32086
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Bishop's NPI number?
The NPI number for Lisa Bishop is 1235166539. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Lisa Bishop Lmhc.
Where is Lisa Bishop located?
Lisa Bishop practices at 165 Southpark Blvd, St Augustine, FL 32086. The listed phone number is (904) 824-7597.
What is Lisa Bishop's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lisa Bishop enrolled in Medicare?
Yes. Lisa Bishop is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Bishop's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bishop reassigns Medicare benefits to Thriveworks Clinical - Florida Inc (Fort Lauderdale, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Bishop accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lisa Bishop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lisa Bishop was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Lisa Reisdorf Bishop · NPI 1235166539
Mental Health provider in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1235166539 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH 7777 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 165 SOUTHPARK BLVD, St Augustine, FL 32086-4101
- **Phone:** (904) 824-7597
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriveworks Clinical - Florida Inc (NPI 1396360996, Fort Lauderdale, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1235166539) · Data from the CMS NPPES public registry.