Ashley Bynum, MA, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000005988 Issued in TN

Practice address

203 Gray Commons Cir Ste 110
Johnson City, TN 37615-5406

Phone

(423) 467-2800

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

• East Tennessee Healthcare Holdings Inc

  dba Overmountain Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gray, TN
  • NPI 1033624853
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1861270571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 WATAUGA RD APT 1405",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013876",
            "telephone_number": "443-534-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GRAY COMMONS CIR STE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376155406",
            "telephone_number": "423-467-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "ASHLEY",
        "credential": "MA, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000005988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Peterson Butler, RPH
• Whitney Nycole Butler, MS, OTR/L
• Brian K. Buxton, PA-C
• Shana Byerley
• Aaliyah Ann Bynum, LMSW
• Lisa L Bynum, RN
• Michelle Byrd, LMT
• Olivia Byrd
• Daniel Logan Byrge
• Rhett Nichols Byrne, PHARM.D.

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.