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KELSEY E. TIERNON MA
NPI 1952828014
Counselor - Mental Health in Fort Wayne, IN

Active since August 29, 2017PECOS Enrolled
3478 STELLHORN RD, FORT WAYNE, IN 46815(260) 452-5336(260) 387-5075 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2021, Aug 29, 2017 (2 updates tracked since 2017).

About Kelsey E. Tiernon Ma NPPES

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

KELSEY E. TIERNON MA (NPI 1952828014) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952828014
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY E. TIERNONCredential: MA
Location Address3478 STELLHORN RDFort Wayne, IN 46815-4630
Mailing Address1817 Beineke RdFort Wayne, IN 46808-1627 · (260) 310-3266
Phone(260) 452-5336
Fax(260) 387-5075
Sole ProprietorYes
Enumeration DateAugust 29, 2017
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1952828014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3478 STELLHORN RD, Fort Wayne, IN 46815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey E. Tiernon Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelsey Tiernon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grit And Grace Counseling LLC
4.5 mi
Mental Health
312 E DUPONT RD STE 101
Fort Wayne, IN 46825
  • Reassigned Medicare billing, Indiana enrollment
NPI 1871244657 (260) 227-5900

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 4

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

ALEXAH K RIVERS LCSW
Social Worker (Clinical)
3478 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 452-5336
SHELBY LAYNE LMHCA
Counselor (Mental Health)
3478 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 452-5336
SARAH S SMITH
Counselor (Mental Health)
3478 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (260) 452-5336
MICHAELA CRISTITA BOSK
Counselor (Mental Health)
3478 STELLHORN RD
FORT WAYNE, IN 46815
Allen County (740) 298-3781

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 Kelsey Tiernon's NPI number?

The NPI number for Kelsey Tiernon is 1952828014. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Kelsey Tiernon located?

Kelsey Tiernon practices at 3478 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 452-5336.

What is Kelsey Tiernon's specialty?

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

Is Kelsey Tiernon enrolled in Medicare?

Yes. Kelsey Tiernon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Tiernon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Tiernon reassigns Medicare benefits to Grit And Grace Counseling LLC (Fort Wayne, IN). 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 Kelsey Tiernon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Tiernon accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelsey Tiernon 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 Kelsey Tiernon was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.