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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: October 18, 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
Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dorotha Bynum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lumina Revenue Cycle Management LLC
12 mi
Substance Abuse Rehabilitation Facility
3909 HIGHWAY 282
Van Buren, AR 72956
  • Reassigned Medicare billing, Arkansas enrollment
  • 8 clinicians in this Medicare group
NPI 1154894954 (479) 242-1003
Covenant Recovery Inc
96 mi
Substance Abuse Rehabilitation Facility
276 LINDEN ST
Hot Springs, AR 71901
  • Reassigned Medicare billing, Arkansas enrollment
  • 7 clinicians in this Medicare group
NPI 1467196386 (501) 226-6810
Recovery Resources LLC
126 mi
Rehabilitation, Substance Use Disorder
4621 ASHER AVE
Little Rock, AR 72204
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group
NPI 1659239564 (501) 454-6811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Dorotha Bynum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorotha Bynum reassigns Medicare benefits to 3 organizations: Lumina Revenue Cycle Management LLC (Van Buren, AR), Covenant Recovery Inc (Hot Springs, AR) and Recovery Resources LLC (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorotha Bynum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dorotha Bynum accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.