Individual provider Active NPI

Mary Darden

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1194256636
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
155 Wilmington PL SE
Washington, DC 20032-6154
Phone
(757) 503-4471
NPI assigned
Mar 26, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

155 Wilmington PL SE
Washington, DC 20032-6154

Mailing address

1919 Commerce Dr
Hampton, VA 23666-4269
Phone (757) 251-6376

Other identifiers 1

IdentifierTypeStateIssuer
1194256636OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260327002326 VA Practitioner - Mental Health Counselor 2769967793 Reassigns benefits to 1 organization
I20260327004059 DC Practitioner - Mental Health Counselor 2769967793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Skillman St
Suite 204
Brooklyn, NY 11205-1218

250 Skillman St
Suite 204
Brooklyn, NY 11205-4812

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1194256636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664269",
            "telephone_number": "757-251-6376",
            "fax_number": "757-788-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILMINGTON PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200326154",
            "telephone_number": "757-503-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDEN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194256636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.