Active NPI
Dominating Therapeutic Services, PLLC
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1871276998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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,CCSOTS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Greenville, NC
- NPI 1164879854
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.