Individual provider Active NPI

Olivia Dominey

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1962387431
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18106 Issued in SC
Practice address
30 Pointe Cir
Greenville, SC 29615-3506
Phone
(864) 655-5193
NPI assigned
Aug 6, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18106 SC Primary

Addresses

Primary practice location

30 Pointe Cir
Greenville, SC 29615-3506

Mailing address

30 Pointe Cir
Greenville, SC 29615-3506
Phone (864) 655-5193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001071 SC Practitioner - Mental Health Counselor 3375025141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Pointe Cir
Greenville, SC 29615-3506

30 Pointe Cir
Greenville, SC 29615-3564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18106SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amaryillis Counseling LLC CurrentSince Jan 9, 2026 Accepting new patients

Locations

30 Pointe Cir
Greenville, SC 29615
Phone (864) 235-3393

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1962387431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POINTE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506",
            "telephone_number": "864-655-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 POINTE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153506",
            "telephone_number": "864-655-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINEY",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.