Stephanie Bynum, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015357 Issued in PA

Practice address

2214 N Atherton St Ste 2
State College, PA 16803-1544

Phone

(717) 859-8000

NPI assigned

Jul 10, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NR Pennsylvania Associates LLC

  dba Retreat Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Ephrata, PA
  • NPI 1861967994
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1336827450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 SPRINGFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434718",
            "telephone_number": "215-908-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST STE 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "717-859-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S 7th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "PA",
            "postal_code": "175011464",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "fax_number": "561-969-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 S State St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222601",
            "country_code": "US",
            "telephone_number": "717-859-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3624 Market St Ste 303S-A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042614",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "fax_number": "561-969-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Walnut St Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194461140",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Burton, D.O.
• Jamie L Bush, CRNP
• Scott E Butler, PA-C
• Adam Butters, PHARMD
• Emma Caitlin Buytenhuys
• C & K Dental
• Joseph A Cable, DO
• James A Cady, PA-C
• Cairn Wellness
• David Michael Calandra, DC

• Professional Counselor in State College, PA
• Providers in State College, PA by specialty
• Professional Counselor in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.