Chanita Marie Pace, LPC, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2103701 Issued in OH

Practice address

596 Rocky Fork Blvd
Gahanna, OH 43230-5306

Phone

(614) 705-3511

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1932821618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ROCKY FORK BLVD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305306",
            "telephone_number": "614-705-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ROCKY FORK BLVD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305306",
            "telephone_number": "614-705-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "CHANITA",
        "middle_name": "MARIE",
        "credential": "LPC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161775",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otterbein Gahanna, LLC
• Sarah Grace Otto, CNP
• Jennifer Killion Overbey, MD
• Overload-Columbus LTD
• Eric G Owens, RN
• Brooke Padgett, PT, DPT
• Sage Padilla
• Marla Paffhausen, O.T.
• Steven Paine
• Pals a Chrysalis Health Company

• Mental Health Counselor in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.