Individual provider Active NPI

William Arthur Pace, L.P.C.

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1326332685
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
65793 Issued in TX
Practice address
1520 Rice Rd
Suite 200
Tyler, TX 75703-3259
Phone
(903) 581-6300
Fax
(903) 581-0235
NPI assigned
Jun 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 65793 TX Primary

Addresses

Primary practice location

1520 Rice Rd
Suite 200
Tyler, TX 75703-3259

Mailing address

1520 Rice Rd
Suite 200
Tyler, TX 75703-3259
Phone (903) 581-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001518 TX Practitioner - Mental Health Counselor 1951752070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Psychological Services, PLLCGroup PAC ID 3274702899, 9 clinicians

Practice addresses (Care Compare)

700 S Palestine St
Athens, TX 75751-3325
Phone (903) 675-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Psychological Services, PLLC CurrentSince Jan 3, 2024 Accepting new patients
Community Counseling Center Inc Past Accepting new patients
C.a.S.E. Management Associates, Inc Mental Health Past Accepting new patients

Locations

700 S Palestine St
Athens, TX 75751
Phone (903) 262-8292

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

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": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307145600000",
    "number": "1326332685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 RICE RD",
            "address_2": "SUITE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033259",
            "telephone_number": "903-581-6300",
            "fax_number": "903-581-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 RICE RD",
            "address_2": "SUITE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033259",
            "telephone_number": "903-581-6300",
            "fax_number": "903-581-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "WILLIAM",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.