Active NPI
Alyssa Jeanelle Tierney, LMFT
- Marriage & Family Therapist
- Alturas, CA
National Provider Identifier
1770949349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125428
- 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
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 | |||
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125428 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Modoc | Current | 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.
-
- Behavior Analyst
- Alturas, CA
- NPI 1396858668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.