Tierrha C Jefferson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

929 W Hillcrest Dr Apt 2
Dekalb, IL 60115-1655

Phone

(224) 400-7257

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1760155543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W HILLCREST DR APT 2",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151655",
            "telephone_number": "224-400-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W HILLCREST DR APT 2",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151655",
            "telephone_number": "224-400-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "TIERRHA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081077927",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Skylar O'Brien, DDS, LLC
• Joel Janyia
• Bhavya Jasthi, DMD
• Darvin J Javier, M.D.
• Kassandra Jediola, LCSW
• Loretta Jean Jendryka, LCPC
• Cathy Susan Jerousek
• Jessica Jimenez, MHP, BA
• JLS Counseling PLLC
• Elizabeth K. Jochum, PHARM.D., BCPS

• Behavior Technician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.