Individual provider Active NPI

Timothy Pace, LPC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1255833182
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009973 Issued in VA
Practice address
221 Ruthers Rd Ste 101
North Chesterfield, VA 23235-5395
Phone
(804) 497-9418
NPI assigned
Mar 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Professional Counselor 101YP2500X 0701009973 VA Primary

Addresses

Primary practice location

221 Ruthers Rd Ste 101
North Chesterfield, VA 23235-5395

Mailing address

13926 Hull Street Rd # 2025
Midlothian, VA 23112-2004
Phone (804) 464-8420

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
0701009973VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Therapy, LLC Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Virginia Priority Services Current Accepting new patients

Locations

13926 Hull Street Rd
Midlothian, VA 23112
Phone (540) 940-7331

221 Ruthers Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 497-9418

Interoperability endpoints

  • Direct secure messaging: timothypace@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1255833182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13926 HULL STREET RD # 2025",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122004",
            "telephone_number": "804-464-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUTHERS RD STE 101",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355395",
            "telephone_number": "804-497-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "TIMOTHY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.