Active NPI
Jeanette M Tierney, M.S.
- Addiction (Substance Use Disorder) Counselor
- Westborough, MA
National Provider Identifier
1780737569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 154 Oak St
Westborough, MA 01581-3320 - Phone
- (508) 898-1570
- Fax
- (508) 753-5051
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
154 Oak St
Westborough, MA 01581-3320
Mailing address
585 Lincoln St
Worcester, MA 01605-1906
Phone (508) 854-3320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306421 | Medicaid | MA | |
| 1308785 | Medicaid | MA | |
| M18684 | Other | MA | BCBS MENTAL HEALTH |
| 2220002001 | Other | MA | BCBS SUBSTANCE ABUSE |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems Inc | Past | Accepting new patients | |
| Spectrum Health Systems, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Worcester, MA
- NPI 1376827188
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1346430253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780737569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051906",
"telephone_number": "508-854-3320",
"fax_number": "508-753-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 OAK ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813320",
"telephone_number": "508-898-1570",
"fax_number": "508-753-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "JEANETTE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306421",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308785",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MENTAL HEALTH",
"identifier": "M18684",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SUBSTANCE ABUSE",
"identifier": "2220002001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.