Active NPI
Alexis Bynum, LPMHC
- Professional Counselor
- Historic New Castle, DE
National Provider Identifier
1659022747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0011507
- Practice address
- 800 Garrison CT Apt 403
Historic New Castle, DE 19720-4479 - Phone
- (302) 668-5284
- NPI assigned
- Jan 11, 2022
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | 0011507 | DE | Primary |
Addresses
Primary practice location
800 Garrison CT Apt 403
Historic New Castle, DE 19720-4479
Mailing address
800 Garrison CT Apt 403
Historic New Castle, DE 19720-4479
Phone (302) 668-5284
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011507 | DE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1659022747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GARRISON CT APT 403",
"city": "HISTORIC NEW CASTLE",
"state": "DE",
"postal_code": "197204479",
"telephone_number": "302-668-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARRISON CT APT 403",
"city": "HISTORIC NEW CASTLE",
"state": "DE",
"postal_code": "197204479",
"telephone_number": "302-668-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "ALEXIS",
"credential": "LPMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DE",
"license": "0011507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Historic New Castle, DE
- Catherine Asem, FNP-BC, PMHNP-BC
- Jordan Rae Bader
- Autumn Lynn Baker
- Bio-Medical Applications of Delaware, Inc. (Bma First State)
- Naiya Elise Brown
- Cda Medical Services, LLC (Cathedral Mind and Wellness)
- Classic Limo Services LLC
- Clinical Nurse Consultants LLC
- Community Collaboration of Delaware, Inc.
- Clarence J Cummings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.