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TARA JOY DELA ROSA
NPI 1689267700
Counselor in Moorhead, MN

Active since February 19, 2021PECOS EnrolledAccepts Medicare Assignment
2405 8TH ST S STE 200, MOORHEAD, MN 56560(218) 331-4866(218) 331-4867 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tara Joy Dela Rosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA JOY DELA ROSA (NPI 1689267700) is an individual counselor in Moorhead, Minnesota, licensed in Minnesota (2735) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689267700
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTARA JOY DELA ROSA
Location Address2405 8TH ST S STE 200Moorhead, MN 56560-4200
Mailing Address2405 8th St S Ste 200Moorhead, MN 56560-4200 · (218) 331-4866 · Fax (218) 331-4867
Phone(218) 331-4866
Fax(218) 331-4867
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1689267700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MN · 2735
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2405 8TH ST S STE 200, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Joy Dela Rosa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486099579
PECOS Enrollment IDI20240228002853
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tara Dela Rosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
210 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH ANN BIALIK LICSW
Social Worker (Clinical)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
SHENIKA NICOLE BORDEAUX-COLLINS LAC, LADC
Counselor (Addiction (Substance Use Disorder))
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
JAELYN RAE TYKWINSKI
Student in an Organized Health Care Education/Training Program
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
CHRISTINA J FIKE MA., LPCC
Counselor (Professional)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
ERIC E LETVIN
Counselor (Mental Health)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 382-1267
MS. SARAH MARIE DEEGAN MS,LPCC
Counselor (Mental Health)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
MICHAEL JOHN RICHTER
Social Worker (Clinical)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
KELSI DYBEDAHL
Counselor (Addiction (Substance Use Disorder))
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 382-1267

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Dela Rosa's NPI number?

The NPI number for Tara Dela Rosa is 1689267700. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Tara Dela Rosa located?

Tara Dela Rosa practices at 2405 8th St S Ste 200, Moorhead, MN 56560. The listed phone number is (218) 331-4866.

What is Tara Dela Rosa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tara Dela Rosa enrolled in Medicare?

Yes. Tara Dela Rosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tara Dela Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Dela Rosa reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Dela Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Dela Rosa accept?

Health plans from Blue Cross Blue Shield of North Dakota and HealthPartners list Tara Dela Rosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Dela Rosa was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.