Organization Active NPI

Pace Counseling & Consultation LLC

  • Clinical Social Worker
  • Lemoyne, PA
National Provider Identifier
1609428150
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PACE COUNSELING & CONSULTATION LLC
Practice address
20 Erford Rd Ste 304
Lemoyne, PA 17043-1188
Phone
(717) 745-7223
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Amy Waugh, LCSWNPI 1730519208
Title
Owner
Phone
(717) 745-7223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

20 Erford Rd Ste 304
Lemoyne, PA 17043-1188

Mailing address

20 Erford Rd Ste 304
Lemoyne, PA 17043-1188
Phone (717) 745-7223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awaugh@pacecounsel.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190822002552 PA Part B Supplier - Clinic/Group Practice 8224366695 Receives reassigned benefits from 3 practitioners
Practice locations: Lemoyne, PA

National Provider Directory

National Provider Directory

Locations

20 Erford Rd
Ste 304
Lemoyne, PA 17043
Phone (717) 395-2084

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1609428150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ERFORD RD STE 304",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431188",
            "telephone_number": "717-745-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ERFORD RD STE 304",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431188",
            "telephone_number": "717-745-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-745-7223",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awaugh@pacecounsel.com",
            "affiliation": "N",
            "endpointDescription": "Domain Email",
            "address_1": "20 Erford Rd Ste 304",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.