Destined Pace Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DESTINED PACE COUNSELING & CONSULTING, LLC

Doing business as

Destined Pace Counseling

Practice address

3524 Brambleton Ave Ste 2
Roanoke, VA 24018-6528

Phone

(540) 400-1192

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Kaisha Williams, LPCNPI 1669095410

Title

Owner/Licensed Professional Counsel

Phone

(540) 400-1192

Specialties & licenses 1

Addresses

Other names 1

• Destined Pace Counseling Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaisha Williams, LPC

  • Professional Counselor
  • Roanoke, VA
  • NPI 1669095410
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1245821826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 WOODCREEPER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193816",
            "telephone_number": "540-400-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 BRAMBLETON AVE STE 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186528",
            "telephone_number": "540-400-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINED PACE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAISHA",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "540-400-1192",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Destinedpacecounseling@gmail.com",
            "affiliation": "N",
            "address_1": "3524 Brambleton Ave Ste 2",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240186528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Destined Pace Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varsha J. Desai, M.D.
• Grace G Desantis
• Shweta Deshmukh, DDS
• Nicholas Joseph Desing
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• Kala Myers Destree, KALA DESTREE, BCBA
• Devine Home Health Care, LLC
• Brooke Devine
• Janice M Devoll, M.S., CCC-SLP
• Sarah Dewitt, M.D.

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.