Rayniece K. Pinckney

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6568 Issued in SC

Practice address

2805 Millwood Ave
Columbia, SC 29205-1298

Phone

(803) 569-3101

NPI assigned

Sep 11, 2017

Reactivated

Nov 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Oceanic Counseling Group LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1922631522
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1558880500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ROSEBERRY LN APT 1356",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232857",
            "telephone_number": "843-452-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051298",
            "telephone_number": "803-569-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Commons Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296113850",
            "country_code": "US",
            "telephone_number": "864-263-3039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296014022",
            "country_code": "US",
            "telephone_number": "864-283-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "RAYNIECE",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "deactivation_date": "2020-02-21",
        "reactivation_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150808886687",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508088888",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlie Pilotti
• Molly Kayleen Pincelli, DMD
• Alma Bounds Pinckney, LMSW
• Imani M Pinckney
• Jeromainya Keyanni Pinckney
• Guillermo Enrique Pineda, M.D.
• Jacqueline Y Pineda, M.D
• Rachmawati Pinkney, LMSW
• Pinnacle Family Services of South Carolina LLC
• Pinnacle Group Services Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.