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PAWEL POTYLICKI MS, LPC
NPI 1295127868
Counselor - Professional in Columbia, SC

Active since February 19, 2015PECOS Enrolled
2715 COLONIAL DR, COLUMBIA, SC 29203(803) 783-0303(803) 783-0955 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pawel Potylicki Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAWEL POTYLICKI MS, LPC (NPI 1295127868) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (6056) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295127868
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePAWEL POTYLICKICredential: MS, LPC
Location Address2715 COLONIAL DRColumbia, SC 29203-6818
Mailing Address2715 Colonial DrColumbia, SC 29203-6818 · (803) 783-0303 · Fax (803) 783-0955
Phone(803) 783-0303
Fax(803) 783-0955
Sole ProprietorYes
Enumeration DateFebruary 19, 2015
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1295127868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 6056
2715 COLONIAL DR, Columbia, SC 29203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pawel Potylicki Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pawel Potylicki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
Same address
Primary Care
2715 COLONIAL DR # 200B
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1861066854 (803) 898-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRENDA JOYCE PRESTON M.ED.
Counselor (Mental Health)
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-8315
MRS. DRENEKA SADE BOYD LMSW
Counselor (Mental Health)
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-4777
RANDIE MARIN LYNCH
Counselor (Mental Health)
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-4777
DEANDREA N TAYLOR
Licensed Practical Nurse
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-8888
MS. VILMA P EVANS
Day Training/Habilitation Specialist
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-4800
SARA E FRIERSON
Counselor (Professional)
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-1452
ANDREA M SCOTT M. A.
Counselor (Mental Health)
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-0934
MS. SHIRLEY ROBINSON RN
Registered Nurse
2715 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 898-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pawel Potylicki's NPI number?

The NPI number for Pawel Potylicki is 1295127868. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Pawel Potylicki located?

Pawel Potylicki practices at 2715 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 783-0303.

What is Pawel Potylicki's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Pawel Potylicki enrolled in Medicare?

Yes. Pawel Potylicki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pawel Potylicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pawel Potylicki reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pawel Potylicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pawel Potylicki accept?

Health plans from First Choice Next list Pawel Potylicki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pawel Potylicki was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.