KAYLEE BROOKE BYNUM LCMHC, NCC, CCMHC
NPI 1609228287
Counselor - Mental Health in Moyock, NC

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
380 CARATOKE HWY STE J, MOYOCK, NC 27958(757) 232-8086(252) 232-9136 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2023, Oct 30, 2020, Nov 1, 2018 (3 updates tracked since 2018).

About Kaylee Brooke Bynum Lcmhc, Ncc, Ccmhc NPPES

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

KAYLEE BROOKE BYNUM LCMHC, NCC, CCMHC (NPI 1609228287) is an individual mental health provider in Moyock, North Carolina and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609228287
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAYLEE BROOKE BYNUMCredential: LCMHC, NCC, CCMHC
Location Address380 CARATOKE HWY STE JMoyock, NC 27958-8623
Mailing Address380 Caratoke Hwy Ste JMoyock, NC 27958-8623 · (757) 232-8086 · Fax (252) 232-9136
Fax(252) 232-9136
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1609228287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
380 CARATOKE HWY STE J, Moyock, NC 27958

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaylee Brooke Bynum Lcmhc, Ncc, Ccmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244764785
PECOS Enrollment IDI20241106004046
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 Reassignment

Medicare enrollment records show Kaylee Bynum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
380 CARATOKE HWY STE J
Moyock, NC 27958
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Peaceful Waters Counseling And Wellness Center, PC

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

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Counselor (Mental Health)
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Counselor (Mental Health)
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Massage Therapist
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Counselor (Mental Health)
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Social Worker (Clinical)
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Marriage & Family Therapist
380 CARATOKE HWY STE J
MOYOCK, NC 27958
Counselor (Mental Health)
380 CARATOKE HWY STE J
MOYOCK, NC 27958

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 Kaylee Bynum's NPI number?

The NPI number for Kaylee Bynum is 1609228287. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Kaylee Bynum located?

Kaylee Bynum practices at 380 Caratoke Hwy Ste J, Moyock, NC 27958. The listed phone number is (757) 232-8086.

What is Kaylee Bynum's specialty?

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

Is Kaylee Bynum enrolled in Medicare?

Yes. Kaylee Bynum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kaylee Bynum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylee Bynum reassigns Medicare benefits to Peaceful Waters Counseling And Wellness Center, P.C. (Moyock, NC). The 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 Kaylee Bynum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylee Bynum accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kaylee 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 Kaylee Bynum was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.