Active NPI
Pinnacle Family Services of South Carolina LLC
- Community/Behavioral Health Agency
- Columbia, SC
National Provider Identifier
1639763576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PINNACLE FAMILY SERVICES OF SOUTH CAROLINA LLC
- Practice address
- 107 Westpark Blvd Ste 140
Columbia, SC 29210-3871 - Phone
- (919) 790-8580
- NPI assigned
- Feb 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Preston Scott Martin
- Title
- Coo
- Phone
- (919) 790-8580
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Foster Care Agency | 253J00000X |
Addresses
Primary practice location
107 Westpark Blvd Ste 140
Columbia, SC 29210-3871
Mailing address
3117 Poplarwood CT Ste 350
Raleigh, NC 27604-6446
Phone (919) 790-8580
National Provider Directory
National Provider DirectoryLocations
3117 Poplarwood Ct
Ste 350
Raleigh, NC 27604
Phone (252) 622-9091
107 Westpark Blvd
Ste 140
Columbia, SC 29210
Phone (216) 310-9182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1639763576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 POPLARWOOD CT STE 350",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046446",
"telephone_number": "919-790-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WESTPARK BLVD STE 140",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292103871",
"telephone_number": "919-790-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE FAMILY SERVICES OF SOUTH CAROLINA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-22",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PRESTON",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "919-790-8580"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.