Active NPI
Tara Walsh, LPC, LCADC, ACS
- Professional Counselor
- Midland Park, NJ
National Provider Identifier
1952844102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00684600
- Practice address
- 666 Godwin Ave Ste 100
Midland Park, NJ 07432-1463 - Phone
- (201) 444-8110
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00342000 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00684600 | NJ | Primary |
Addresses
Primary practice location
666 Godwin Ave Ste 100
Midland Park, NJ 07432-1463
Mailing address
666 Godwin Ave Ste 200
Midland Park, NJ 07432-1463
Phone (201) 444-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00342000 | NJ | MD | Mental Health Counselor |
| 37PC00684600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1952844102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 GODWIN AVE STE 200",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321463",
"telephone_number": "201-444-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 GODWIN AVE STE 100",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321463",
"telephone_number": "201-444-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TARA",
"credential": "LPC, LCADC, ACS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00342000",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00684600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.