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SHANNON TIERNEY
NPI 1053933085
Counselor - Mental Health in Coram, NY

Active since May 13, 2020
3600 ROUTE 112, CORAM, NY 11727(631) 920-8610 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Tierney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON TIERNEY (NPI 1053933085) is an individual mental health provider in Coram, New York, licensed in New York (010033-01) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1053933085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON TIERNEY
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address14202 20th AveFlushing, NY 11351-3000
Phone(631) 920-8610
Sole ProprietorYes
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1053933085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 010033-01
3600 ROUTE 112, Coram, NY 11727
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
TRAVIS J WINGATE
Day Training/Habilitation Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8520
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515
MISS MARY LOUISE BLOUNT
Case Manager/Care Coordinator
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Tierney's NPI number?

The NPI number for Shannon Tierney is 1053933085. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Shannon Tierney located?

Shannon Tierney practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8610.

What is Shannon Tierney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Shannon Tierney accept?

Health plans from UnitedHealthcare list Shannon Tierney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Tierney was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.