Individual provider Active NPI

Julia Grace Tierney

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1053578344
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001410 Issued in IL
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

Updated by the provider on Nov 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
166.001410ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Tierney LLC Marriage & Family Therapist CurrentSince Nov 22, 2020 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.

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.

Verify at the official NPI Registry.