Organization Active NPI

Pinnacle Family Services of South Carolina LLC

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1639763576
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 26, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.