Active NPI
Julia Grace Tierney
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1053578344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001410
- Practice address
- 1622 W Columbia Ave Apt 3N
Chicago, IL 60626-4160 - Phone
- (415) 420-8612
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001410 | IL | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1622 W Columbia Ave Apt 3N
Chicago, IL 60626-4160
Mailing address
1157 W Farwell Ave # 2E
Chicago, IL 60626-3809
Phone (415) 420-8612
Other practice location 1
2513 24th St
San Francisco, CA 94110-3556
Phone (510) 317-1444
Other practice location 2
3759 N Ravenswood Ave Ste 133
Chicago, IL 60613-3997
Phone (773) 892-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001410 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie Tierney LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Chicago, IL
- NPI 1154924819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1053578344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 W FARWELL AVE # 2E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606263809",
"telephone_number": "415-420-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 W COLUMBIA AVE APT 3N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264160",
"telephone_number": "415-420-8612"
}
],
"practiceLocations": [
{
"address_1": "2513 24th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103556",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3759 N Ravenswood Ave Ste 133",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606133997",
"country_code": "US",
"telephone_number": "773-892-1933",
"fax_number": "773-892-1933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIERNEY",
"first_name": "JULIA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001410",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.