Tara L Clifford, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1303022 Issued in AR

Practice address

4400 Rogers Ave Ste B
Fort Smith, AR 72903-3179

Phone

(479) 831-6007

NPI assigned

Apr 22, 2008

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

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.

• Center for Psychiatric Wellness, PLLC.

  • Psychiatry Physician
  • Fort Smith, AR
  • NPI 1457733099
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1255505186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROGERS AVE STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033179",
            "telephone_number": "479-831-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ROGERS AVE STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033179",
            "telephone_number": "479-831-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1303022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Clawson
• Clear View Radiology, PLLC
• Allison D Clem, RPH
• Ward William Clemmons, D.D.S., P.A.
• Jerry C Clemons, DDS
• Clingan Counseling, LLC
• Caleb Clingan, LPC
• Clinical Neuroscience Associates, Inc. (CNSA Neurology)
• Clinical Neuroscience Associates, Inc. (CNSA Neurology)
• Clinical Partners, PA - Arkansas

• Mental Health Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.