Active NPI
Angela Kay Tierney
- Professional Counselor
- Wimberley, TX
National Provider Identifier
1467693259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62795
- Practice address
- 3 La Quinta St
Wimberley, TX 78676-3608 - Phone
- (512) 847-1321
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 62795 | TX | |
| Professional Counselor | 101YP2500X | 62795 | TX | Primary |
Addresses
Primary practice location
3 La Quinta St
Wimberley, TX 78676-3608
Mailing address
3 La Quinta St
Wimberley, TX 78676-3608
Phone (512) 393-4691
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 |
|---|---|---|---|
| 62795 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1467693259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LA QUINTA ST",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786763608",
"telephone_number": "512-393-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LA QUINTA ST",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786763608",
"telephone_number": "512-847-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "ANGELA",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62795",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wimberley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.