Individual provider Active NPI

Tara Virginia Clifford, MA, LPC, LCADC, CCS

  • Professional Counselor
  • Toms River, NJ
National Provider Identifier
1841839412
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00963400 Issued in NJ
Practice address
250 Washington St Ste A10
Toms River, NJ 08753-7575
Phone
(732) 703-7387
NPI assigned
Dec 31, 2019
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00333800 NJ
Professional Counselor 101YP2500X 37PC00963400 NJ Primary

Addresses

Primary practice location

250 Washington St Ste A10
Toms River, NJ 08753-7575

Mailing address

713 Champlain St
Toms River, NJ 08757-2533
Phone (484) 432-8371

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00963400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1841839412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CHAMPLAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087572533",
            "telephone_number": "484-432-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST STE A10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537575",
            "telephone_number": "732-703-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "TARA",
        "middle_name": "VIRGINIA",
        "credential": "MA, LPC, LCADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00333800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00963400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.