Kaylee Brooke Bynum, LCMHC, NCC, CCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

380 Caratoke Hwy Ste J
Moyock, NC 27958-8623

Phone

(757) 232-8086

Fax

(252) 232-9136

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Waters Counseling and Wellness Center, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moyock, NC
  • NPI 1811464332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1609228287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CARATOKE HWY STE J",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588623",
            "telephone_number": "757-232-8086",
            "fax_number": "252-232-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CARATOKE HWY STE J",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279588623",
            "telephone_number": "757-232-8086",
            "fax_number": "252-232-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "KAYLEE",
        "middle_name": "BROOKE",
        "credential": "LCMHC, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kate Brinn, M.S., BCBA
• Victoria Brown-Marra
• Jalisa Brown
• Jessica Burroughs
• Brynn Alexandra Byers, LCSWA
• Sophia Byrne
• Melissa Caldwell
• Brittany Carter
• Jasmin Centeno
• Julie Champagne

• Mental Health Counselor in Moyock, NC
• Providers in Moyock, NC by specialty
• Mental Health Counselor in North Carolina

• 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.