Nicole Byrum, M.MFT

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

100 Saw Mill Rd
Lafayette, IN 47905-5592

Phone

(765) 742-4848

Fax

(765) 477-9905

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH

  Medicare reassignment NPD
• Community & Family Resource Center

  • Community/Behavioral Health Agency
  • Lafayette, IN
  • NPI 1023293784
  NPD (past)
• Community and Family Resource Center

  • Community/Behavioral Health Agency
  • Lafayette, IN
  • NPI 1780745489
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851419758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TIMBER TRAIL DR",
            "address_2": "APT. 308",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054666",
            "telephone_number": "325-280-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAW MILL RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055592",
            "telephone_number": "765-742-4848",
            "fax_number": "765-477-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRUM",
        "first_name": "NICOLE",
        "credential": "M.MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shea Lynn Busch, LMFT, LMHC
• Linda Rae-Ann Bushong
• Kevin Warren Butterfield, D.C.
• Robert S Byers, MD
• Garland Edward Byron, MD
• Maritza Yvonne Cabrera, RBT
• Mary T Caccavo, PH.D.
• Madison Cacucciolo
• William T Calder, NCBTMB
• Lauren Caldwell, ED.S.

• Community/Behavioral Health Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.