Organization Active NPI

Success Carolina, LLC

  • Mental Health Counselor
  • West Columbia, SC
National Provider Identifier
1871406124
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUCCESS CAROLINA, LLC
Practice address
213 Garden View Dr
West Columbia, SC 29169-6257
Phone
(803) 678-7950
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Pawel Roman Potylicki, LPC, MS
Title
Owner
Phone
(803) 678-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

213 Garden View Dr
West Columbia, SC 29169-6257

Mailing address

213 Garden View Dr
West Columbia, SC 29169-6257
Phone (803) 678-7950

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1871406124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GARDEN VIEW DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696257",
            "telephone_number": "803-678-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GARDEN VIEW DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696257",
            "telephone_number": "803-678-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A",
        "authorized_official_last_name": "POTYLICKI",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_middle_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-678-7950",
        "authorized_official_credential": "LPC, MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.