Organization Active NPI

Dominating Therapeutic Services, PLLC

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1871276998
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DOMINATING THERAPEUTIC SERVICES, PLLC
Practice address
2428 Charles Blvd Ste 102
Greenville, NC 27858-6052
Phone
(919) 882-9289
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Ms. Tara Sandrea Roach, MSW,LCSW,LCAS,CCSOTSNPI 1164879854
Title
Owner/Psychotherapist
Phone
(252) 531-6226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2428 Charles Blvd Ste 102
Greenville, NC 27858-6052

Mailing address

418 Farmingwood Rd
Greenville, NC 27858-8786
Phone (252) 531-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913003179 NC Part B Supplier - Clinic/Group Practice 5698139368 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

1202 E Fire Tower Rd
#B
Greenville, NC 27858
Phone (252) 623-8759

2428 Charles Blvd
Ste 102
Greenville, NC 27858
Phone (252) 799-6698

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1871276998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 FARMINGWOOD RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588786",
            "telephone_number": "252-531-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 CHARLES BLVD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586052",
            "telephone_number": "919-882-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINATING THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "SANDREA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "252-531-6226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW,LCAS,CCSOTS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.