Individual provider Active NPI

James Samuel Bishop, MA, LCMHCA

  • Mental Health Counselor
  • High Point, NC
National Provider Identifier
1457239071
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21905 Issued in NC
Practice address
2121 Eastchester Dr Ste 105
High Point, NC 27265-1535
Phone
(336) 322-2277
Fax
(336) 346-8444
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21905 NC Primary

Addresses

Primary practice location

2121 Eastchester Dr Ste 105
High Point, NC 27265-1535

Mailing address

160 Crowne Chase Dr Apt 13
Winston Salem, NC 27104-3585
Phone (334) 590-8210

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A21905NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tides Counseling and Wellness, PLLC Mental Health CurrentSince Aug 25, 2025 Accepting new patients

Locations

2121 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 332-2277

Organizations & group practices 1

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1457239071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CROWNE CHASE DR APT 13",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043585",
            "telephone_number": "334-590-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EASTCHESTER DR STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651535",
            "telephone_number": "336-322-2277",
            "fax_number": "336-346-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JAMES",
        "middle_name": "SAMUEL",
        "credential": "MA, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21905",
            "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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.