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TAHISA JAMISON
NPI 1770058703
Counselor - Mental Health in Clark, NJ

Active since October 05, 2018PECOS Enrolled
67 WALNUT AVE STE 207, CLARK, NJ 07066(732) 982-2888(847) 859-5885 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tahisa Jamison NPPES

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

TAHISA JAMISON (NPI 1770058703) is an individual mental health provider in Clark, New Jersey, licensed in (37AC00352100) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Brunswick, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770058703
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAHISA JAMISON
Location Address67 WALNUT AVE STE 207Clark, NJ 07066-1640
Mailing Address175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454 · (847) 737-8768 · Fax (847) 859-5885
Phone(732) 982-2888
Fax(847) 859-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 5, 2018
✔ NPI 1770058703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · 37AC00352100
67 WALNUT AVE STE 207, Clark, NJ 07066
Open in Google Maps ↗

Secondary Practice Location 1

Location 1465 Cranbury Rd Ste 203East Brunswick, NJ 08816-7600 · Phone (732) 982-2888 · Fax (847) 859-5885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tahisa Jamison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961985528
PECOS Enrollment IDI20260311003122
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 Tahisa Jamison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group Of New Jersey PC
16 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

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.

KAMESHA WALKINS LCSW
Social Worker (Clinical)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (848) 346-8294
JEANETTE JANVIER
Social Worker (Clinical)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (267) 800-6027
MS. CASSANDRA ALTENOR LPC
Counselor (Professional)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888
JAMES WILLIAM GORDON JR.
Counselor (Professional)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888
ALISON KULICK LPC
Counselor (Professional)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888
MR. RENE RAMON BAEZ NCC, LPC
Counselor (Professional)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888
BRITTANY DILLARD LPC
Counselor (Professional)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888
KIMBERLY PATRICE MOORE-JONES LCSW, ACSW
Social Worker (Clinical)
67 WALNUT AVE STE 207
CLARK, NJ 07066
Union County (732) 982-2888

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 Tahisa Jamison's NPI number?

The NPI number for Tahisa Jamison is 1770058703. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Tahisa Jamison located?

Tahisa Jamison practices at 67 Walnut Ave Ste 207, Clark, NJ 07066. The listed phone number is (732) 982-2888.

What is Tahisa Jamison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tahisa Jamison enrolled in Medicare?

Yes. Tahisa Jamison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tahisa Jamison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tahisa Jamison reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Tahisa Jamison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tahisa Jamison accept?

Health plans from Oscar Health list Tahisa Jamison 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 Tahisa Jamison was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.