Individual provider Active NPI

Ivra Yvette Pace, LPC

  • Mental Health Counselor
  • Walhalla, SC
National Provider Identifier
1326378993
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6533 Issued in SC
Practice address
330 Stribling Shoals Rd
Walhalla, SC 29691-4830
Phone
(864) 784-7833
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007911 GA
Mental Health Counselor 101YM0800X 6533 SC Primary

Addresses

Primary practice location

330 Stribling Shoals Rd
Walhalla, SC 29691-4830

Mailing address

330 Stribling Shoals Rd
Walhalla, SC 29691-4830
Phone (864) 784-7833

Other practice location 1

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240917000266 SC Practitioner - Mental Health Counselor 2163963257 Reassigns benefits to 2 organizations

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
Taral Sharma MD PCGroup PAC ID 0244568152, 27 clinicians
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

201 Central Park LN
Seneca, SC 29678-1156
Phone (864) 844-9432

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007911GAMDChiropractor
6533SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Taral Sharma MD PC CurrentSince Jul 24, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince Nov 1, 2025 Accepting new patients
Lifesource of North Carolina CurrentSince Nov 1, 2025 Accepting new patients
Cannon Psychological Associates, PC PastSince Jul 24, 2022 Accepting new patients

Locations

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951

201 Central Park Ln
Seneca, SC 29678
Phone (844) 864-9432

Organizations & group practices 11

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1326378993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 STRIBLING SHOALS RD",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296914830",
            "telephone_number": "864-784-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 STRIBLING SHOALS RD",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296914830",
            "telephone_number": "864-784-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257266",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "IVRA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "007911",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walhalla, SC

Sources for this page

Verify at the official NPI Registry.