Individual provider Active NPI

Erin Tierney-Butler, LPC

  • Mental Health Counselor
  • Powhatan, VA
National Provider Identifier
1326094418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003627 Issued in VA
Practice address
3910 Old Buckingham Rd
Powhatan, VA 23139-5719
Phone
(804) 556-5400
Fax
(804) 556-5403
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003627 VA Primary

Addresses

Primary practice location

3910 Old Buckingham Rd
Powhatan, VA 23139-5719

Mailing address

PO Box 189
Goochland, VA 23063-0189
Phone (804) 556-5400

Other identifiers 7

IdentifierTypeStateIssuer
159800OtherVAANTHEM - POWH LOC
A932447OtherVAVALUE OPTIONS
159813OtherVAANTHEM - GCH LOC
159813OtherVAHEALTHKEEPERS - GCH LOC
2128469OtherVAMAMSI
O81629MOtherVASENTARA
159800OtherVAHEALTHKEEPERS - PWH LOC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001541 VA Practitioner - Mental Health Counselor 0143755603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midlothian Behavioral Health Associates, LLCGroup PAC ID 6709058381, 3 clinicians

Practice addresses (Care Compare)

14410 Sommerville CT
Suite 101
Midlothian, VA 23113-6813
Phone (804) 897-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midlothian Behavioral Health Associates, LLC CurrentSince Sep 19, 2024 Accepting new patients
Goochland Powhatan Community Services PastSince Sep 1, 2007 Accepting new patients

Locations

14410 Sommerville Ct
Ste 101
Midlothian, VA 23113
Phone (804) 897-9355

Organizations & group practices 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326094418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630189",
            "telephone_number": "804-556-5400",
            "fax_number": "804-556-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395719",
            "telephone_number": "804-556-5400",
            "fax_number": "804-556-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY-BUTLER",
        "first_name": "ERIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - POWH LOC",
            "identifier": "159800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A932447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - GCH LOC",
            "identifier": "159813",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS - GCH LOC",
            "identifier": "159813",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2128469",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "O81629M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS - PWH LOC",
            "identifier": "159800",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.