Active NPI
Joeseph Bynum
- Professional Counselor
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013858
- Practice address
- 2527 Congress Ave
Aurora, IL 60503-6722 - Phone
- (312) 231-7212
- NPI assigned
- May 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 180013858 | IL | |
| Professional Counselor | 101YP2500X | 180013858 | IL | Primary |
Addresses
Primary practice location
2527 Congress Ave
Aurora, IL 60503-6722
Mailing address
2527 Congress Ave
Aurora, IL 60503-6722
Phone (312) 231-7212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325003043 | IL | Practitioner - Mental Health Counselor | 5193162279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edgewood Clinical Services P.C.
Practice addresses (Care Compare)
755 Almar Pkwy
Bourbonnais, IL 60914-2392
Phone (888) 428-7890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
| Psychology Specialists LTD | Counselor | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
755 Almar Pkwy
Ste A
Bourbonnais, IL 60914
Phone (815) 214-9079
755 Almar Pkwy
Bourbonnais, IL 60914
Phone (317) 366-9559
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Interoperability endpoints
- lifestancehealth.josephbynum@146897.advancedmd-direct.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1881004752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 CONGRESS AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605036722",
"telephone_number": "312-231-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 CONGRESS AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605036722",
"telephone_number": "312-231-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "JOESEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180013858",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.