Anne Tierney, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-4365 Issued in ID

Practice address

409 Washington Ave
Pocatello, ID 83201-4520

Phone

(208) 234-2646

Fax

(208) 232-0035

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Tomorrows Child Advocacy Center

  • Case Management Agency
  • Pocatello, ID
  • NPI 1174876205
  NPD (past)
• Bright Tomorrows, Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Pocatello, ID
  • NPI 1619177797

  Counselor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1457582173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014520",
            "telephone_number": "208-234-2646",
            "fax_number": "208-232-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014520",
            "telephone_number": "208-234-2646",
            "fax_number": "208-232-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808228800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bettina Throckmorton
• Throne of Grace, LLC.
• Mitzi Thursby
• Becky A. Ticknor, BS
• Debbie R. Tidwell, LSW
• Lucas Dennis James Tierney
• Kelley Tillotson, R.N., BSN
• Timothy E. Snell, MD, PLLC
• Timothy J. Ramsden, M. D., P. C.
• Amanda Jane Tingey, M.S. CF-SLP

• Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.