Angela Crystal Pace, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011085 Issued in GA

Practice address

309 Tanner St
Carrollton, GA 30117-3207

Phone

(770) 317-0796

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angie Pace, LLC

  • Professional Counselor
  • Carrollton, GA
  • NPI 1861039372
  NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407406226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WHITE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172439",
            "telephone_number": "770-317-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 TANNER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173207",
            "telephone_number": "770-317-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "ANGELA",
        "middle_name": "CRYSTAL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2021-09-27",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jocelyn Orig, MD
• Orthodontic Care of Georgia
• Jamie Dawn Owens
• Amber P Owensby
• Timothy Neal Ozburn, MD
• Paced Medical Clinic, LLC
• Justice Page
• Hermogenes Pagsisihan, M.D.
• Emily Painter, PTA
• Joseph Stephen Palin, M.D.

• Professional Counselor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.