Individual provider Active NPI

Tara Morong

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1841883717
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone
(774) 206-1125
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

354 Merrimack St Ste 395
Lawrence, MA 01843-1754

Mailing address

354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (978) 566-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250714000197 MA Practitioner - Mental Health Counselor 1557876208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Justice Resource Institute, IncGroup PAC ID 3274430590, 24 clinicians
Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

110 Boston St
Salem, MA 01970-1402
Phone (978) 744-7905

380 Massachusetts Ave
Acton, MA 01720-3743
Phone (978) 264-3619

431 Johnson St
North Andover, MA 01845-4721
Phone (978) 296-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Integrated Behavioral Care New England LLC CurrentSince Nov 1, 2025 Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

160 Gould St
Ste 300
Needham Heights, MA 02494
Phone (781) 559-4900

Organizations & group practices 3

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1841883717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-566-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONG",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.