Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE TIERNEY
NPI 1861101768
Counselor - Mental Health in Belford, NJ

Active since November 18, 2022PECOS EnrolledAccepts Medicare Assignment
25 W PARK AVE, BELFORD, NJ 07718(732) 687-9796 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Nov 18, 2022 (2 updates tracked since 2022).

About Nicole Tierney NPPES

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

NICOLE TIERNEY (NPI 1861101768) is an individual mental health provider in Belford, New Jersey, licensed in New Jersey (37AC00562300) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Red Bank, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861101768
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE TIERNEY
Location Address25 W PARK AVEBelford, NJ 07718-1046
Mailing Address25 W Park AveBelford, NJ 07718-1046 · (732) 687-9796
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2022
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1861101768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00562300
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00361200 (NJ)
25 W PARK AVE, Belford, NJ 07718

Secondary Practice Location 1

Location 1270 Highway 35Red Bank, NJ 07701-5920 · Phone (732) 842-2000

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

Nicole Tierney 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 ID941650790
PECOS Enrollment IDI20231220001967
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 Reassignments

2

Medicare enrollment records show Nicole Tierney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
25 W PARK AVE
Belford, NJ 07718
  • Reassigned Medicare billing, New Jersey enrollment
Mental Health (Including Community Mental Health Center)
270 ROUTE 35
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Cpc Behavioral Healthcare Inc
  • 99 clinicians in this Medicare group

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

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

Community/Behavioral Health
25 W PARK AVE
BELFORD, NJ 07718

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 Nicole Tierney's NPI number?

The NPI number for Nicole Tierney is 1861101768. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Nicole Tierney located?

Nicole Tierney practices at 25 W Park Ave, Belford, NJ 07718. The listed phone number is (732) 687-9796.

What is Nicole Tierney's specialty?

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

Is Nicole Tierney enrolled in Medicare?

Yes. Nicole 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 organizations bill Medicare for Nicole Tierney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Tierney reassigns Medicare benefits to 2 organizations: Hope-Fullness Counseling, Prevention, And Education (Belford, NJ) and Cpc Integrated Health, Inc. (Red Bank, NJ). Each 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 Nicole Tierney'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 Nicole Tierney was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.