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PAUL FRANCIS TIERNEY III LPC
NPI 1801500111
Counselor - Professional in Wilkes Barre, PA

Active since January 11, 2023PECOS EnrolledAccepts Medicare Assignment
100 N WILKES BARRE BLVD STE 103, WILKES BARRE, PA 18702(570) 846-2720(570) 518-7228 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Francis Tierney Iii Lpc NPPES

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

PAUL FRANCIS TIERNEY III LPC (NPI 1801500111) is an individual professional provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (PC020563) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801500111
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePAUL FRANCIS TIERNEY IIICredential: LPC
Location Address100 N WILKES BARRE BLVD STE 103Wilkes Barre, PA 18702-5240
Mailing Address100 N Wilkes Barre Blvd Ste 103Wilkes Barre, PA 18702-5240 · (570) 846-2720 · Fax (570) 518-7228
Phone(570) 846-2720
Fax(570) 518-7228
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 11, 2023
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1801500111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC020563
Also ListedCounselorTaxonomy 101Y00000X · License LPC03385 (AL)
100 N WILKES BARRE BLVD STE 103, Wilkes Barre, PA 18702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Francis Tierney Iii Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456825371
PECOS Enrollment IDI20260701003506
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 Paul Tierney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleanslate Medical Group Of Pennsylvania LLC
Same address
Multi-Specialty
100 N WILKES BARRE BLVD STE 103
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group
NPI 1184177263 (413) 584-2173

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 12

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

FLORENCE BABIARZ
Counselor (Addiction (Substance Use Disorder))
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
Clinic/Center (Multi-Specialty)
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (413) 584-2173
DR. JAY WILLNER M.D.
Obstetrics & Gynecology
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720
LAUREN ELIZABETH GARDJULIS CRS
Peer Specialist
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720
NICOLE MARIE TOMASURA
Peer Specialist
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 899-0015
MRS. MICHELLE BERNARDI CRNP
Nurse Practitioner (Family)
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720
NICOLE MARIE WENRICH CRS
Peer Specialist
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720
AMANDEEP KAUR CRNP
Nurse Practitioner (Family)
100 N WILKES BARRE BLVD STE 103
WILKES BARRE, PA 18702
Luzerne County (570) 846-2720

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 Paul Tierney's NPI number?

The NPI number for Paul Tierney is 1801500111. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Paul Tierney located?

Paul Tierney practices at 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702. The listed phone number is (570) 846-2720.

What is Paul Tierney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Paul Tierney enrolled in Medicare?

Yes. Paul Tierney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Paul Tierney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Tierney reassigns Medicare benefits to Cleanslate Medical Group Of Pennsylvania LLC (Wilkes Barre, PA). 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 Paul Tierney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Tierney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Paul 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 Paul Tierney was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.