| Taihra Braxton Roca, LPC | |
|
95 North Route 17, Suite 100, Paramus, NJ 07652 | |
| (732) 982-2888 | |
| Not Available |
| Full Name | Taihra Braxton Roca |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 95 North Route 17, Paramus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013526615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00433700 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00891200 (New Jersey) | Primary |
| Entity Name | New Jersey Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Taihra Braxton Roca, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Taihra Braxton Roca, LPC 95 North Route 17, Suite 100, Paramus, NJ 07652 Ph: (732) 982-2888 |
Daniel Parra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 E Midland Ave Ste 2, Paramus, NJ 07652 Phone: 201-498-9140 | |
Paige Jordan Paris, LPC Counselor Medicare: Medicare Enrolled Practice Location: 610 Valley Health Plaza, Paramus, NJ 07652 Phone: 201-265-8200 | |
Dr. Carlea D M Dries, PSY.D., ABSNP Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Hoppers Ln, Paramus, NJ 07652 Phone: 201-800-4416 | |
Kayla Knox, Counselor Medicare: Medicare Enrolled Practice Location: 610 Valley Health Plz, Paramus, NJ 07652 Phone: 201-265-8200 | |
Michael Mcclinton, CADC, BS, AAS, MCM Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Forest Ave Ste 201, Paramus, NJ 07652 Phone: 201-565-2920 Fax: 201-654-0020 | |
Emma Fleming, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Forest Ave, Paramus, NJ 07652 Phone: 201-588-3491 |