Pba Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PBA COUNSELING

Practice address

34 Gaited Acres LN
Blythewood, SC 29016-5713

Phone

(839) 292-3902

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Sasha Farr-Goodwin, LISW-CPNPI 1730924952

Title

Owner

Phone

(839) 292-3902

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sasha Farr-Goodwin

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1730924952
  NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1407644297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9153 TWO NOTCH RD STE C11",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235853",
            "telephone_number": "839-292-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GAITED ACRES LN",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290165713",
            "telephone_number": "839-292-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "FARR-GOODWIN",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "839-292-3902",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Adult Mental Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.