Paul Francis Tierney III, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC020563 Issued in PA

Practice address

100 N Wilkes Barre Blvd Ste 103
Wilkes Barre, PA 18702-5240

Phone

(570) 846-2720

Fax

(570) 518-7228

NPI assigned

Jan 11, 2023

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cleanslate Medical Group of Pennsylvania LLC

  • Multi-Specialty Clinic/Center
  • Wilkes Barre, PA
  • NPI 1184177263
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1801500111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 103",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025240",
            "telephone_number": "570-846-2720",
            "fax_number": "570-518-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 103",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025240",
            "telephone_number": "570-846-2720",
            "fax_number": "570-518-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "LPC03385",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC020563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahlia Thorpe, D.O.
• Tyler M Thress, MD
• Thrift Drug Inc (Rite Aid Pharmacy 11077)
• Jennifer Throop, MS, CVRT, CLVT
• Leah Marie Tibus
• Erin Kathleen Tiffany, RDN, LDN, CNSC
• Donna Marie Tigue
• Karen Anne Tillotson, PA
• Jessica Lynn Timek, MSW, LSW
• Lisa Kay Tinna, BSN

• Professional Counselor in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.

Verify at the official NPI Registry.