Individual provider Active NPI

Sarah Nyasha Pace, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1053588111
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006062 Issued in GA
Practice address
48 Coca Cola PL SE
Atlanta, GA 30303-3043
Phone
(404) 616-6251
Fax
(404) 696-1910
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006062 GA Primary

Addresses

Primary practice location

48 Coca Cola PL SE
Atlanta, GA 30303-3043

Mailing address

2509 Dogwood CT SW
Atlanta, GA 30311-2113

Other names 1

  • Miss Sarah Nyasha Godfrey Former name

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

State licenses

LicenseStateTypeSpecialty
LPC006062GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wellness Group, LLC Professional Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307232000000",
    "number": "1053588111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 DOGWOOD CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 COCA COLA PL SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033043",
            "telephone_number": "404-616-6251",
            "fax_number": "404-696-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "SARAH",
        "middle_name": "NYASHA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2011-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GODFREY",
            "middle_name": "NYASHA",
            "prefix": "MISS",
            "credential": "LAPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; 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.