Mindy Lynn McCarty, CDAC-II, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC9062PC Issued in SC

Practice address

194 Marley Blue Dr
Little River, SC 29566-5400

Phone

(404) 484-4665

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Grace Family Services IncGroup PAC ID 5294274841, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grace Family Services Inc

  • Psychiatry Physician
  • North Myrtle Beach, SC
  • NPI 1003549759

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional, SC

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, SC

  Medicare reassignment NPD
• Sandhills Intergrated Care, Inc.

  • Community/Behavioral Health Agency
  • North Myrtle Beach, SC
  • NPI 1548757123

  Single Specialty

  NPD
• Tangu, Inc

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
  • NPI 1114042132

  Addiction (Substance Use Disorder)

  NPD (past)
• Tangu, Inc

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1336449537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1720643265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MARLEY BLUE DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295665400",
            "telephone_number": "404-484-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MARLEY BLUE DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295665400",
            "telephone_number": "404-484-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Deer Trl",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815124",
            "country_code": "US",
            "telephone_number": "404-484-4665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Elders Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Senoia",
            "state": "GA",
            "postal_code": "302761741",
            "country_code": "US",
            "telephone_number": "404-484-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MINDY",
        "middle_name": "LYNN",
        "credential": "CDAC-II, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1020",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "LPC9062PC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC9062PC",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL AND DRUG ABUSE CERTIFIED BOARD OF GEORGIA",
            "identifier": "1020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC013050",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Leigh Martin, FNP-BC
• Tasha Martin
• Katelyn Marie Mason, PA
• Mary J. Mason, MD
• Jeremy R McCallum, MD
• Alex Gregory McGaughy, M.D.
• Christine M McGinley, DO
• McLaughlin Family Enterprises, LLC
• McLeod Loris Seacoast Hospital
• McLeod Loris Seacoast Hospital

• Professional Counselor in Little River, SC
• Providers in Little River, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.