Active NPI
Monique R Darnell, LPC
- Professional Counselor
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011474
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH18174 | FL | MD | Mental Health Counselor |
| LPC011474 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Single Specialty | Current | Accepting new patients |
| MRD&Ca Solutions | Professional | Current | Accepting new patients |
| Dreams and Visions, LLC | Professional | Past | 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.
-
- Professional Counselor
- Fayetteville, GA
- NPI 1578172987
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1144800350
GA, Single Specialty
-
- Professional Counselor
- College Park, GA
- NPI 1538668280
-
- Community/Behavioral Health Agency
- Sandy Springs, GA
- NPI 1275753782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.