Active NPI
Paul Tierney, LPC
- Professional Counselor
- Moncure, NC
National Provider Identifier
1609921097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5539
- Practice address
- 3306 Chatham Church Rd
Moncure, NC 27559-9459 - Phone
- (919) 542-0138
- Fax
- (919) 542-0138
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5539 | NC | Primary |
Addresses
Primary practice location
3306 Chatham Church Rd
Moncure, NC 27559-9459
Mailing address
3306 Chatham Church Rd
Moncure, NC 27559-9459
Phone (919) 542-0138
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1609921097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 CHATHAM CHURCH RD",
"city": "MONCURE",
"state": "NC",
"postal_code": "275599459",
"telephone_number": "919-542-0138",
"fax_number": "919-542-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 CHATHAM CHURCH RD",
"city": "MONCURE",
"state": "NC",
"postal_code": "275599459",
"telephone_number": "919-542-0138",
"fax_number": "919-542-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "PAUL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncure, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.