Individual provider Active NPI

Kenya Renee' Pace, RMHCI

  • Mental Health Counselor
  • Plant City, FL
National Provider Identifier
1023659133
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1001 E Baker St Ste 100
Plant City, FL 33563-3700
Phone
(813) 754-5555
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1001 E Baker St Ste 100
Plant City, FL 33563-3700

Mailing address

2507 Timberside Ter Apt 303
Wesley Chapel, FL 33543-4104
Phone (502) 435-4822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpace@headsusa.com Direct Healing Educational Alternatives for Deserving Students

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023659133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 TIMBERSIDE TER APT 303",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434104",
            "telephone_number": "502-435-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BAKER ST STE 100",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633700",
            "telephone_number": "813-754-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "KENYA",
        "middle_name": "RENEE'",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpace@headsusa.com",
            "affiliation": "Y",
            "affiliationName": "Healing Educational Alternatives for Deserving Students",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 E Baker St Ste 100",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335633700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.