Active NPI
Shapel Lucille Bynum, LCMHC
- Mental Health Counselor
- High Point, NC
National Provider Identifier
1346711306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14071
- Practice address
- 3980 Premier Dr Ste 110
High Point, NC 27265-8409 - Phone
- (336) 662-2055
- Fax
- (844) 444-0546
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14071 | NC | |
| Mental Health Counselor | 101YM0800X | NC | ||
| Mental Health Counselor | 101YM0800X | 14071 | NC | Primary |
Addresses
Primary practice location
3980 Premier Dr Ste 110
High Point, NC 27265-8409
Mailing address
1611 Knoll CT
High Point, NC 27265-2441
Phone (336) 340-4418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14071 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognastics, PLLC | Counselor | Current | Accepting new patients |
| Agape Psychological | Single Specialty | Past | Accepting new patients |
| Edward Franklyn Morris | Single Specialty | Past | Accepting new patients |
Locations
3980 Premier Dr
Ste 110
High Point, NC 27265
Phone (336) 988-2464
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1346711306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 KNOLL CT",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272652441",
"telephone_number": "336-340-4418",
"fax_number": "844-444-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 PREMIER DR STE 110",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658409",
"telephone_number": "336-662-2055",
"fax_number": "844-444-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "SHAPEL",
"middle_name": "LUCILLE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "14071",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.