Provider Demographics
NPI:1457239071
Name:BISHOP, JAMES SAMUEL (MA, LCMHCA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:SAMUEL
Last Name:BISHOP
Suffix:
Gender:M
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CROWNE CHASE DR APT 13
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-3585
Mailing Address - Country:US
Mailing Address - Phone:334-590-8210
Mailing Address - Fax:
Practice Address - Street 1:2121 EASTCHESTER DR STE 105
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1535
Practice Address - Country:US
Practice Address - Phone:336-322-2277
Practice Address - Fax:336-346-8444
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health