Individual provider Active NPI

Monique R Darnell, LPC

  • Professional Counselor
  • Fayetteville, GA
National Provider Identifier
1376062539
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011474 Issued in GA
Practice address
320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone
(404) 919-8222
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH18174 FL
Professional Counselor 101YP2500X LPC011474 GA Primary

Addresses

Primary practice location

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Mailing address

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone (404) 919-8222

Other practice location 1

1992 Lewis Turner Blvd Ste 1061
Fort Walton Beach, FL 32547-1255
Phone (404) 500-9335

Other practice location 2

1305 Hardeman Ave
Macon, GA 31201-4411
Phone (404) 500-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240221000774 GA Practitioner - Mental Health Counselor 2961846696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

1700 Northside Dr NW
Suite A7
Atlanta, GA 30318-2695
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18174FLMDMental Health Counselor
LPC011474GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC Single Specialty CurrentSince Feb 16, 2024 Accepting new patients
MRD&Ca Solutions Professional CurrentSince Jan 1, 2024 Accepting new patients
Dreams and Visions, LLC Professional PastSince Mar 1, 2020 Accepting new patients
Family Ties Inc. Past Accepting new patients
Brightside Medical, P.C. Single Specialty Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1992 Lewis Turner Blvd
Ft Walton Bch, FL 32547
Phone (850) 332-4127

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

320 Lanier Ave W
Ste 200
Fayetteville, GA 30214
Phone (404) 850-0653

1305 Hardeman Ave
Macon, GA 31201
Phone (404) 500-9335

Organizations & group practices 5

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1376062539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "404-919-8222",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "404-919-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1992 Lewis Turner Blvd Ste 1061",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471255",
            "country_code": "US",
            "telephone_number": "404-500-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Hardeman Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312014411",
            "country_code": "US",
            "telephone_number": "404-500-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "MONIQUE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18174",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.