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NOA R TIA
NPI 1780358135
Student in an Organized Health Care Education/Training Program in Ithaca, NY

Active since August 08, 2021PECOS Enrolled
127 W STATE ST, ITHACA, NY 14850(607) 273-7494 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Noa R Tia NPPES

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

NOA R TIA (NPI 1780358135) is an individual student in an organized health care education/training program in Ithaca, New York and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780358135
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNOA R TIA
Location Address127 W STATE STIthaca, NY 14850-5474
Mailing Address105 South StIthaca, NY 14850-5326 · (607) 793-3391
Phone(607) 273-7494
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2021
NPPES CertifiedAugust 8, 2021
✔ NPI 1780358135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
127 W STATE ST, Ithaca, NY 14850
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noa R Tia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597233080
PECOS Enrollment IDI20260504005047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Noa Tia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family & Children's Service Of Ithaca Inc
Same address
Voluntary or Charitable
127 W STATE ST FL 1
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Family & Childrens Service Of Ithaca Inc
  • 12 clinicians in this Medicare group
NPI 1124176680 (607) 273-7494

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. MARY KATE LENIHAN L.M.F.T.
Marriage & Family Therapist
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
ERLA PETRONETTE HEYNS
Student in an Organized Health Care Education/Training Program
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
DANIELLE KLINGENSMITH LCAT, MT-BC
Counselor (Mental Health)
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
SARA ELIZABETH VIDAL LMSW
Social Worker
127 W STATE ST
ITHACA, NY 14850
Tompkins County (697) 273-7494
SHELLIAN WILLIAMS
Social Worker
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
ELIZABETH DISSIN LMHC
Counselor (Mental Health)
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
MRS. TYNESHA WRIGHT-LINDO
Social Worker
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494
LYNNIE JANE WESTAFER MA MFT
Marriage & Family Therapist
127 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-7494

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 Noa Tia's NPI number?

The NPI number for Noa Tia is 1780358135. It was assigned to this individual provider in the NPPES registry on August 8, 2021.

Where is Noa Tia located?

Noa Tia practices at 127 W State St, Ithaca, NY 14850. The listed phone number is (607) 273-7494.

What is Noa Tia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Noa Tia enrolled in Medicare?

Yes. Noa Tia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noa Tia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noa Tia reassigns Medicare benefits to Family & Children's Service Of Ithaca Inc (Ithaca, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Noa Tia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noa Tia was last updated on August 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.