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MS. DOROTHA DIANE BYNUM LPC
NPI 1205846706
Counselor - Mental Health in Fort Smith, AR

Active since August 08, 2006PECOS Enrolled
4301 S 16TH ST, FORT SMITH, AR 72901(479) 242-1003(501) 510-5917 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2021, Oct 6, 2020, Nov 13, 2019 and 2 more (5 updates tracked since 2017).

About Ms. Dorotha Diane Bynum Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DOROTHA DIANE BYNUM LPC (NPI 1205846706) is an individual mental health provider in Fort Smith, Arkansas, licensed in Arkansas (P1111089) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205846706
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DOROTHA DIANE BYNUMCredential: LPC
Location Address4301 S 16TH STFort Smith, AR 72901-8061
Mailing AddressPo Box 7768Van Buren, AR 72956-0741 · (479) 242-1003 · Fax (501) 510-5917
Phone(479) 242-1003
Fax(501) 510-5917
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJanuary 6, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1205846706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P1111089
4301 S 16TH ST, Fort Smith, AR 72901
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Secondary Practice Locations 2

Location 1204 N Front St Ste ADardanelle, AR 72834-3843 · Phone (479) 355-1606
Location 2243 Nathan TerJessieville, AR 71949-9289 · Phone (501) 984-5317 · Fax (479) 782-5502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dorotha Diane Bynum Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorotha Bynum's NPI number?

The NPI number for Dorotha Bynum is 1205846706. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Dorotha Bynum located?

Dorotha Bynum practices at 4301 S 16th St, Fort Smith, AR 72901. The listed phone number is (479) 242-1003.

What is Dorotha Bynum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dorotha Bynum enrolled in Medicare?

Yes. Dorotha Bynum is registered in the Medicare PECOS enrollment system.

What insurance does Dorotha Bynum accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Dorotha Bynum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorotha Bynum was last updated on January 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.