Individual provider Active NPI

Rachael Clements

  • Professional Counselor
  • Fairfield, NJ
National Provider Identifier
1215817556
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
271 Rte 46 W
Fairfield, NJ 07004-2440
Phone
(973) 600-7473
NPI assigned
Sep 5, 2025
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NJ Primary

Addresses

Primary practice location

271 Rte 46 W
Fairfield, NJ 07004-2440

Mailing address

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

Other practice location 1

63 Lakeside Ave
Stockholm, NJ 07460-1107
Phone (732) 561-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

78 E Railroad Ave
Jamesburg, NJ 08831-6796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Counselor CurrentSince Sep 8, 2025 Accepting new patients
Theracorp, LLC PastSince Sep 8, 2025 Accepting new patients

Locations

271 US Highway 46
Ste G201
Fairfield, NJ 07004
Phone (973) 934-0230

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (973) 207-6834

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1215817556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RTE 46 W",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-600-7473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Lakeside Ave",
            "address_purpose": "LOCATION",
            "city": "Stockholm",
            "state": "NJ",
            "postal_code": "074601107",
            "country_code": "US",
            "telephone_number": "732-561-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.