Tara Virginia Clifford, MA, LPC, LCADC, CCS in Wall Township, NJ

Tara Virginia Clifford, MA, LPC, LCADC, CCS is a medicare enrolled "Counselor - Professional" provider in Wall Township, New Jersey. Her current practice location is 1350 Campus Pkwy Ste 101, Wall Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 924-5589.

Tara Virginia Clifford is licensed to practice in New Jersey (license number 37PC00963400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841839412.

Contact Information

	Tara Virginia Clifford, MA, LPC, LCADC, CCS
	1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6821
	(732) 924-5589
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Virginia Clifford
Gender	Female
Speciality	Counselor - Professional
Location	1350 Campus Pkwy Ste 101, Wall Township, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841839412
Provider Enumeration Date: 12/31/2019
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3779928817
Enrollment ID: I20240228004812

Medical Identifiers

Medical identifiers for Tara Virginia Clifford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841839412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00333800 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	37PC00963400 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Virginia Clifford allows following entities to bill medicare on her behalf.

Entity Name	Ellie Mental Health At The Jersey Shore Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033997192 PECOS PAC ID: 2961847066 Enrollment ID: O20240228003605

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Virginia Clifford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tara Virginia Clifford, MA, LPC, LCADC, CCS 713 Champlain St, Toms River, NJ 08757-2533 Ph: (484) 432-8371	Tara Virginia Clifford, MA, LPC, LCADC, CCS 1350 Campus Pkwy Ste 101, Wall Township, NJ 07753-6821 Ph: (732) 924-5589

Reviews and Comments

Counselor in Wall Township, NJ

Kim Lee Hart, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 Hwy 71 Ste 3c, Wall Township, NJ 07719 Phone: 732-556-6290 Fax: 732-556-6015
Ellen Sweeney, MA, LPC LCADC Counselor Medicare: Medicare Enrolled Practice Location: 1350 Campus Pkwy Ste 101, Wall Township, NJ 07753 Phone: 732-924-5589
Ashley Staggard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1402 Frances Dr, Wall Township, NJ 07719 Phone: 732-492-8249 Fax: 847-859-5885
Kimberly Ann Puleo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3053 Governors Xing, Wall Township, NJ 07719 Phone: 732-861-5141
Diane Bleiman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1924 Route 35, Wall Township, NJ 07719 Phone: 732-481-4743
Victoria Krajcik, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1924 Route 35 Ste 9a, Wall Township, NJ 07719 Phone: 732-359-8686
Ms. Phoebe K King, LPC, ACS Counselor Medicare: Medicare Enrolled Practice Location: 1924 State Route 35 Ste 9a, Wall Township, NJ 07719 Phone: 732-359-8686 Fax: 732-359-8688

Tara Virginia Clifford, MA, LPC, LCADC, CCS - Medicare Counselor in Wall Township, NJ