Individual provider Active NPI

Mallory Darnell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1326522194
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25795 Issued in SC
Practice address
871 Lowcountry Blvd
Mount Pleasant, SC 29464-3066
Phone
(843) 501-1099
NPI assigned
Sep 18, 2018
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25795 SC Primary
Registered Nurse 163W00000X 243909 SC

Addresses

Primary practice location

871 Lowcountry Blvd
Mount Pleasant, SC 29464-3066

Mailing address

871 Lowcountry Blvd
Mount Pleasant, SC 29464-3066
Phone (843) 501-1099

Other identifiers 1

IdentifierTypeStateIssuer
1760596480MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20220527000017 SC Practitioner - Nurse Practitioner 4688052988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of South Carolina PCGroup PAC ID 9234571191, 5 clinicians

Practice addresses (Care Compare)

600 Seacoast Pkwy
Suite 200
Mount Pleasant, SC 29464-8327
Phone (843) 868-2005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243909SCMDRegistered Nurse
25795SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center CurrentSince Mar 1, 2022 Accepting new patients
Charleston Counseling Center PC CurrentSince Mar 1, 2022 Accepting new patients
Turnwell Mental Health of South Carolina, PC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

600 Seacoast Pkwy
Ste 200
Mt Pleasant, SC 29464
Phone (843) 868-2005

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 3

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1326522194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 LOWCOUNTRY BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643066",
            "telephone_number": "843-501-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 LOWCOUNTRY BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643066",
            "telephone_number": "843-501-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "MALLORY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "25795",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "243909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760596480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.