Active NPI
Jonathan Darling
- Mental Health Counselor
- Myrtle Beach, SC
National Provider Identifier
1578284998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10172
- Practice address
- 1113 44TH Ave N Ste 100
Myrtle Beach, SC 29577-5780 - Phone
- (843) 449-6261
- NPI assigned
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10172 | SC | Primary |
Addresses
Primary practice location
1113 44TH Ave N Ste 100
Myrtle Beach, SC 29577-5780
Mailing address
1113 44TH Ave N Ste 100
Myrtle Beach, SC 29577-5780
Phone (843) 449-6261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10172 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1578284998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 44TH AVE N STE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775780",
"telephone_number": "843-449-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 44TH AVE N STE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775780",
"telephone_number": "843-449-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARLING",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "10172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.