NPIMap

Organization Active NPI

Lumina Revenue Cycle Management LLC

  • Substance Abuse Rehabilitation Facility
  • Van Buren, AR
National Provider Identifier
1154894954
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LUMINA REVENUE CYCLE MANAGEMENT LLC
Practice address
3909 Highway 282
Van Buren, AR 72956-8718
Phone
(479) 242-1003
Fax
(501) 510-5917
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dorotha Diane Bynum, LPCNPI 1205846706
Title
Owner
Phone
(479) 242-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3909 Highway 282
Van Buren, AR 72956-8718

Mailing address

PO Box 7768
Van Buren, AR 72956-0741
Phone (479) 242-1003

Other practice location 1

3905 Hwy 282
Van Buren, AR 72956
Phone (479) 242-1003

Other practice location 2

4301 S 16th St
Fort Smith, AR 72901-8061
Phone (479) 242-1003

Other practice location 3

10905 W Markham St
Little Rock, AR 72211-2827
Phone (479) 242-1003

Other practice location 4

104 N Battery St
Little Rock, AR 72205-4458
Phone (479) 242-1003

Other practice location 5

7600 Enmar Dr
Little Rock, AR 72209-3510
Phone (479) 242-1003

Other names 2

  • Lumina Behavioral Health Doing business as
  • Lumina Revenue Cycle Management, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728002446 AR Part B Supplier - Clinic/Group Practice 0941603922 Receives reassigned benefits from 11 practitioners
Practice locations: Van Buren, AR

National Provider Directory

National Provider Directory

Locations

4301 S 16th St
Fort Smith, AR 72901
Phone (479) 242-1003

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1154894954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7768",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729560741",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 HIGHWAY 282",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568718",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 HWY 282",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "72956",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729018061",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10905 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722112827",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 N Battery St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722054458",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Enmar Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722093510",
            "country_code": "US",
            "telephone_number": "479-242-1003",
            "fax_number": "501-510-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINA REVENUE CYCLE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "DOROTHA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-242-1003",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumina Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lumina Revenue Cycle Management, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.