Active NPI
Myke Pace, LMHCA
- Counselor
- Vancouver, WA
National Provider Identifier
1154037240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61332256
- Practice address
- 3501 NE 96TH St
Vancouver, WA 98665-5338 - Phone
- (360) 991-1739
- NPI assigned
- Jan 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61332256 | WA | Primary |
Addresses
Primary practice location
3501 NE 96TH St
Vancouver, WA 98665-5338
Mailing address
3501 NE 96TH St
Vancouver, WA 98665-5338
Phone (360) 991-1739
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 |
|---|---|---|---|
| 61332256 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1154037240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 NE 96TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986655338",
"telephone_number": "360-991-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 NE 96TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986655338",
"telephone_number": "360-991-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "MYKE",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61332256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.