Active NPI
James Samuel Bishop, MA, LCMHCA
- Mental Health Counselor
- High Point, NC
National Provider Identifier
1457239071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A21905 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tides Counseling and Wellness, PLLC | Mental Health | Current | 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.
-
- Clinical Social Worker
- High Point, NC
- NPI 1790357622
Mental Health
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.