Tara Ann Pace, MS, NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18 004668 Issued in NY

Practice address

128 Wilson St
Buffalo, NY 14212-1215

Phone

(716) 896-6388

Fax

(716) 894-3088

NPI assigned

Feb 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mental Health Services-Erie County Northwest Corporation I

  • Mental Health Counselor
  • Kenmore, NY
  • NPI 1679698286

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1295067288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WILSON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121215",
            "telephone_number": "716-896-6388",
            "fax_number": "716-894-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WILSON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121215",
            "telephone_number": "716-896-6388",
            "fax_number": "716-894-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "TARA",
        "middle_name": "ANN",
        "credential": "MS, NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 004668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L Pacanowski, PA-C
• Bruce J Pace, PHD
• Connor Pace, FNP-BC
• Sheila M Pace, CNM, NP
• Sonya Glenn Pace, MS CCC/SLP
• Kathleen Alicia Pacella, RPH,PHARMD
• Kathleen Pacelli, CCC-SLP
• Connie Pacheco, LMSW
• Mary Pachetti
• Jayne Pacioni

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.