Individual provider Active NPI

Robert Maurice Tierney

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1790188332
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000455 Issued in PA
Practice address
7120 Eastwood St
Philadelphia, PA 19149-1205
Phone
(267) 251-2389
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC000455 PA Primary

Addresses

Primary practice location

7120 Eastwood St
Philadelphia, PA 19149-1205

Mailing address

7120 Eastwood St
Philadelphia, PA 19149-1205
Phone (267) 251-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241127000498 PA Practitioner - Mental Health Counselor 3375078397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CW Psychological ServicesGroup PAC ID 4880019405, 4 clinicians

Practice addresses (Care Compare)

491 Allendale Rd
Suite 301
King of Prussia, PA 19406-1432
Phone (610) 308-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC Professional Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dcp.roberttierney@141748.advancedmd-direct.com
  • Direct secure messaging: robert.tierney.1@28623.direct.athenahealth.com

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, 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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1790188332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 EASTWOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491205",
            "telephone_number": "267-251-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 EASTWOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491205",
            "telephone_number": "267-251-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "ROBERT",
        "middle_name": "MAURICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.