TARA ANN PACE


Address: 128 Wilson St, Buffalo, NY 14212-1215
Phone: 7168966388

TARA ANN PACE (NPI# 1295067288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295067288
Entity Type Individual
Full Name TARA ANN PACE
Credential MS, NCC, LMHC
Practice Address 128 Wilson St
Buffalo
NY 14212-1215
Practice Telephone 7168966388
Practice Fax Number 7168943088
Mailing Telephone 7168966388
Mailing Fax Number 7168943088
Enumeration Date 2010-02-02
Last Update Date 2013-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
18 004668 NY Behavioral Health & Social Service Providers

Office Location

Street Address 128 WILSON ST
City BUFFALO
State NY
Zip Code 14212-1215

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1265404982 Christopher Schaeffer Internal Medicine 1021 Broadway St, Buffalo, NY 14212 2006-02-06
1639697279 Sara Kathleen Lis Counselor 1131 Broadway St, Buffalo, NY 14212 2017-09-05
1770022212 Jeremy Michael Tomaino Counselor 1131 Broadway Ave, Buffalo, NY 14212 2017-02-16
1689033441 Latajana Hall Counselor 1131 Broadway Ave, Buffalo, NY 14212 2016-02-22
1336549831 James Maska Physical Therapist 1021 Broadway St, Buffalo, NY 14212 2014-09-03
1871934398 Mark John Harrigan Registered Nurse 1384 Broadway, Buffalo, NY 14212 2013-07-12
1740542299 Xika Zhao Registered Nurse 1500 Broadway, Buffalo, NY 14212 2012-06-11
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1104477900 Nancy Jean Marcussen Counselor 135 Delaware Ave Ste 210, Buffalo, NY 14202-2410 2019-09-23
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1235633447 Elizabeth Randall Counselor 6176 Sheridan Dr, Buffalo, NY 14221-4812 2018-03-21
1225548878 Allison A Trusso-lahey Counselor 495 Parker Ave, Buffalo, NY 14216-2108 2017-10-10
1285171025 Santina Grace Phillips Counselor 10 Symphony Circle, Buffalo, NY 14201 2017-01-31
1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
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Competitor

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City BUFFALO
Zip Code 14212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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