Individual provider Active NPI

William Keith Queen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, SC
National Provider Identifier
1437807120
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN-25892 Issued in SC
Practice address
651 S Coit St
Florence, SC 29501-5256
Phone
(843) 800-1303
Fax
(843) 800-1901
NPI assigned
Mar 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 Practitioner 363LP0808X APN-25892 SC Primary

Addresses

Primary practice location

651 S Coit St
Florence, SC 29501-5256

Mailing address

651 S Coit St
Florence, SC 29501-5256
Phone (843) 800-1303

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
I20220603002191 SC Practitioner - Nurse Practitioner 4981082823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN-25892SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of Greenville, PC CurrentSince Jan 1, 2025 Accepting new patients
Sweetgrass Psychiatry LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Crossroads Treatment Center of Seneca, PC CurrentSince Jan 1, 2025 Accepting new patients
Crossroads Treatment Center of Columbia, PC CurrentSince Sep 1, 2025 Accepting new patients
Hopehealth, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Hopehealth Inc Current Accepting new patients
Starting Point of Florence, Inc CurrentSince Sep 1, 2025 Accepting new patients
Starting Point of Darlington, LLC CurrentSince Sep 1, 2025 Accepting new patients
Center of Hope of Myrtle Beach, LLC CurrentSince Sep 1, 2025 Accepting new patients
Hopehealth Inc CurrentSince Jun 6, 2022 Accepting new patients
Crossroads Treatment Center of Charleston, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1421 Bluff Rd
Columbia, SC 29201
Phone (803) 733-5855

600 E Palmetto St
Florence, SC 29506

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

360 N Irby St
Ste I
Florence, SC 29501

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

104 George Bishop Pkwy
Myrtle Beach, SC 29579
Phone (843) 903-6212

209 Oconee Square Dr
Seneca, SC 29678
Phone (864) 888-2337

Organizations & group practices 11

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": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1437807120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015256",
            "telephone_number": "843-800-1303",
            "fax_number": "843-800-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015256",
            "telephone_number": "843-800-1303",
            "fax_number": "843-800-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "WILLIAM",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN-25892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.