Individual provider Active NPI

Alyssa Jeanelle Tierney, LMFT

  • Marriage & Family Therapist
  • Alturas, CA
National Provider Identifier
1770949349
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125428 Issued in CA
Practice address
441 N Main St
Alturas, CA 96101-3457
Phone
(530) 233-6312
Fax
(530) 233-6339
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 125428 CA Primary

Addresses

Primary practice location

441 N Main St
Alturas, CA 96101-3457

Mailing address

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

Other practice location 1

1360 E Lassen Ave
Chico, CA 95973-7823
Phone (530) 267-1753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alyssatierney@co.modoc.ca.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240115001801 CA Practitioner - Marriage and Family Therapist 9830541812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ModocGroup PAC ID 5193987808, 7 clinicians

Practice addresses (Care Compare)

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125428CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Modoc CurrentSince Jan 1, 2024 Accepting new patients

Locations

441 N Main St
Alturas, CA 96101
Phone (530) 233-6312

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1770949349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013457",
            "telephone_number": "530-233-6312",
            "fax_number": "530-233-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013457",
            "telephone_number": "530-233-6312",
            "fax_number": "530-233-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Lassen Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959737823",
            "country_code": "US",
            "telephone_number": "530-267-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "ALYSSA",
        "middle_name": "JEANELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssatierney@co.modoc.ca.us",
            "affiliation": "N",
            "address_1": "441 N Main St",
            "city": "Alturas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961013457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alturas, CA

Sources for this page

Verify at the official NPI Registry.