Roger Winfred Pace I, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M 0500002 Issued in OH

Practice address

5964 Broadview Rd
Parma, OH 44134-3105

Phone

(216) 741-4456

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Roger Winfred Pace I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902016462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343105",
            "telephone_number": "216-741-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343105",
            "telephone_number": "216-741-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "ROGER",
        "middle_name": "WINFRED",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M 0500002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "PACE",
            "middle_name": "WINFRED",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Owens Sr., CDCA
• Deasia Owens
• Pac Services LLC
• Alphonso Pace, LPN
• Ingrid Pace
• Samuel W Pagano, MD
• Geetu Pahlajani, M.D
• Pain Control & Rehabilitation Centers Inc
• Brojesh Chandra Pakrashi, MD FACC
• Syreeta Palackdharry

• Marriage & Family Therapist in Parma, OH
• Providers in Parma, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.