Active NPI
Ronnie L Pace Jr., LPCC LMHC LMFT LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1093734303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68943
- Practice address
- 6114 Valley CLFS
San Antonio, TX 78250-5757 - Phone
- (210) 645-5289
- Fax
- (866) 302-2959
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH8209 | FL | |
| Professional Counselor | 101YP2500X | LPC 2001 | LA | |
| Marriage & Family Therapist | 106H00000X | LMFT 610 | LA | |
| Professional Counselor | 101YP2500X | 68943 | TX | Primary |
| Professional Counselor | 101YP2500X | 6341 | CO | |
| Professional Counselor | 101YP2500X | 144781 | NM |
Addresses
Primary practice location
6114 Valley CLFS
San Antonio, TX 78250-5757
Mailing address
6114 Valley CLFS
San Antonio, TX 78250-5757
Phone (210) 645-5289
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6341 | CO | MD | Professional Counselor |
| MH8209 | FL | MD | Professional Counselor |
| LPC 2001 | LA | MD | Professional Counselor |
| 144781 | NM | MD | Professional Counselor |
| 68943 | TX | MD | Professional Counselor |
| LMFT 610 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1093734303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6114 VALLEY CLFS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505757",
"telephone_number": "210-645-5289",
"fax_number": "866-302-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6114 VALLEY CLFS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505757",
"telephone_number": "210-645-5289",
"fax_number": "866-302-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "RONNIE",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "LPCC LMHC LMFT LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH8209",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC 2001",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "LMFT 610",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68943",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6341",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "144781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.