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DESIREE BENISHA BISHOP
NPI 1720655921
Counselor - Mental Health in Conway, SC

Active since June 07, 2021PECOS Enrolled
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060(843) 347-3959 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desiree Benisha Bishop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE BENISHA BISHOP (NPI 1720655921) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720655921
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESIREE BENISHA BISHOP
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address301 El Bethel Rd Unit 1hConway, SC 29527-4980 · (843) 504-5056
Phone(843) 347-5060
Fax(843) 347-3959
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1720655921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Benisha Bishop is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769947324
PECOS Enrollment IDI20260723003579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Desiree Bishop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
Same address
Mental Health (Including Community Mental Health Center)
164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526
  • Reassigned Medicare billing, South Carolina enrollment
  • 79 clinicians in this Medicare group
NPI 1356397228 (843) 347-5060

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Desiree Bishop's NPI number?

The NPI number for Desiree Bishop is 1720655921. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Desiree Bishop located?

Desiree Bishop practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Desiree Bishop's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Desiree Bishop enrolled in Medicare?

Yes. Desiree Bishop is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desiree Bishop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Bishop reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Conway, SC). 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 Desiree Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desiree Bishop accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Desiree 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 Desiree Bishop was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.