Individual provider Active NPI

Tash Duplain, LAC

  • Professional Counselor
  • Fairfield, NJ
National Provider Identifier
1831834951
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37AC00626000 Issued in NJ
Practice address
271 Route 46 W Ste G201
Fairfield, NJ 07004-2475
Phone
(973) 934-0230
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 37AC00626000 NJ Primary

Addresses

Primary practice location

271 Route 46 W Ste G201
Fairfield, NJ 07004-2475

Mailing address

10B Shady LN
Little Falls, NJ 07424-1407
Phone (973) 934-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210004664 NJ Practitioner - Mental Health Counselor 6204362536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

271 Route 46 W
G 201
Fairfield, NJ 07004-2475
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00626000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC CurrentSince Nov 8, 2024 Accepting new patients
Theracorp, LLC CurrentSince Nov 8, 2024 Accepting new patients

Locations

86 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 561-8555

271 US Highway 46
Ste C209
Fairfield, NJ 07004
Phone (732) 561-8555

271 US Highway 46
Ste G201
Fairfield, NJ 07004
Phone (732) 561-8555

203 Candlewood Cmns
Howell, NJ 07731
Phone (732) 561-8555

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

1696 Route 88
Wall Township, NJ 08724
Phone (732) 561-8555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1831834951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10B SHADY LN",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241407",
            "telephone_number": "973-934-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W STE G201",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042475",
            "telephone_number": "973-934-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLAIN",
        "first_name": "TASH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00626000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.