Individual provider Active NPI

Ronnie L Pace Jr., LPCC LMHC LMFT LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1093734303
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68943 Issued in TX
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

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6341COMDProfessional Counselor
MH8209FLMDProfessional Counselor
LPC 2001LAMDProfessional Counselor
144781NMMDProfessional Counselor
68943TXMDProfessional Counselor
LMFT 610LAMDMarriage & 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.

Verify at the official NPI Registry.