Provider Demographics
NPI:1114590460
Name:BISHOP, NAN CUMMINS (MA, LPC)
Entity Type:Individual
Prefix:
First Name:NAN
Middle Name:CUMMINS
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1484
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80036-1484
Mailing Address - Country:US
Mailing Address - Phone:720-515-2279
Mailing Address - Fax:
Practice Address - Street 1:6705 SHERIDAN BLVD UNIT C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-4266
Practice Address - Country:US
Practice Address - Phone:720-515-2279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health