Active NPI
Timothy Pace, LPC
- Professional Counselor
- North Chesterfield, VA
National Provider Identifier
1255833182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701009973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701009973 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Professional Counselor
- North Chesterfield, VA
- NPI 1063010775
-
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- NPI 1063915650
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
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.