Matthew Dominic Pascavage

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9130 Issued in SC

Practice address

1500 Lady St
Columbia, SC 29201-3402

Phone

(803) 766-2188

NPI assigned

Feb 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1538973219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 GREENWYCHE AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106232",
            "telephone_number": "336-905-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LADY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013402",
            "telephone_number": "803-766-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAVAGE",
        "first_name": "MATTHEW",
        "middle_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Parrott, MD
• John F Parrott Jr., MD
• Dolly Parson, RBT
• Heather Parsons, LMSW
• Partners First Medical Supply Company LLC
• Lacey Paschal
• Christopher Colan Pase, PA-C
• Susana Pasicatan, MD
• Teresa Angela Pasley, PH.D,, R LPCI, NCC,
• Kealyn Passaretti

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.