Individual provider Active NPI

Icolin Y Darby, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1053039057
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11021308 Issued in FL
Practice address
9032 NW 55TH St
Sunrise, FL 33351-7771
Phone
(754) 245-7670
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11021308 FL Primary

Addresses

Primary practice location

9032 NW 55TH St
Sunrise, FL 33351-7771

Mailing address

9032 NW 55TH St
Sunrise, FL 33351-7771
Phone (754) 245-7670

Other identifiers 1

IdentifierTypeStateIssuer
11021308MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000063 FL Practitioner - Nurse Practitioner 2264802412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Counseling Services PLLCGroup PAC ID 4385181759, 4 clinicians

Practice addresses (Care Compare)

297 E Hwy 50
Suite 1
Clermont, FL 34711-2500
Phone (352) 404-6589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021308FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Counseling Services, PLLC Single Specialty CurrentSince Dec 29, 2025 Accepting new patients

Locations

297 E Highway 50
Ste 1
Clermont, FL 34711
Phone (352) 404-6589

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1053039057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9032 NW 55TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517771",
            "telephone_number": "754-245-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9032 NW 55TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517771",
            "telephone_number": "754-245-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "ICOLIN",
        "middle_name": "Y",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11021308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11021308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.