Jeremiah E Clifford, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16969 Issued in TX

Practice address

4525 Glenwood Ave
Deer Park, TX 77536-7901

Phone

(281) 946-4331

NPI assigned

Jul 2, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeremy Clifford Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1376460964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 GLENWOOD AVE",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775367901",
            "telephone_number": "281-946-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 GLENWOOD AVE",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775367901",
            "telephone_number": "281-946-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "JEREMIAH",
        "middle_name": "E",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "CLIFFORD",
            "credential": "LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blair Lyanne Chandler, FNP-C
• Charles W Allen Mdpa
• Rita Ann Chessher
• Tywanna L Chisley, M.D.
• City of Deer Park
• Martha Diana Cohen, DDS
• Community Health 1St ER, LLC
• Concentra Health Services, Inc.
• Core Occupational Medicine Services
• Carla Ferraro Covarrubias

• Addiction (Substance Use Disorder) Counselor in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.