Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tahisa Jamison

Individual provider Mental Health Counselor · NPI 1770058703

Tahisa Jamison is a Mental Health Counselor in Clark, New Jersey. Qualified in 2013, 13 years ago. Works from 2 locations.

Years since qualifying
13
In the registry since
2018
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Practice location Address checks out

67 Walnut Ave Ste 207
Clark, NJ 07066-1640
Phone: (732) 982-2888
Fax: (847) 859-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 465 Cranbury Rd Ste 203, East Brunswick, NJ 08816-7600 — (732) 982-2888

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00352100

Record details

NPI number1770058703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2018
Last updated in NPPESOctober 5, 2018
Mailing address175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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