Individual provider Active NPI

Vivian Mary Bingham, MA, LCADC, CSS

  • Addiction (Substance Use Disorder) Counselor
  • Barbourville, KY
National Provider Identifier
1942412697
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
417 Knox St Ste 3&4
Barbourville, KY 40906-1353
Phone
(606) 545-9752
Fax
(606) 545-0244
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

417 Knox St Ste 3&4
Barbourville, KY 40906-1353

Mailing address

417 Knox St Ste 3&4
Barbourville, KY 40906-1353
Phone (606) 545-9752

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)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bingham Behavioral Health Care, PLLC Addiction (Substance Use Disorder) CurrentSince Dec 27, 2020 Accepting new patients

Locations

417 Knox St
Barbourville, KY 40906

417 Knox St
Ste 34
Barbourville, KY 40906
Phone (606) 545-9752

417 Knox St
Ste 3
Barbourville, KY 40906
Phone (606) 545-9752

Organizations & group practices 1

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1942412697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 KNOX ST STE 3&4",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061353",
            "telephone_number": "606-545-9752",
            "fax_number": "606-545-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 KNOX ST STE 3&4",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061353",
            "telephone_number": "606-545-9752",
            "fax_number": "606-545-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "VIVIAN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MA, LCADC, CSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.