IndividualActive
Shannon Tierney
NPI 1053933085 · Mental Health Counselor · Coram, NY
Shannon Tierney is a Mental Health Counselor provider in Coram, NY (NPI 1053933085).
Provider details
- NPI number
- 1053933085
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 010033-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8610
Street-level locationGet directions
Mailing address
14202 20th Ave
Flushing, NY 11351-3000
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Frequently asked questions
- What is Shannon Tierney's NPI number?
- Shannon Tierney's National Provider Identifier (NPI) is 1053933085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Tierney's specialty?
- Shannon Tierney is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Tierney located?
- Shannon Tierney's practice location on file with NPPES is 3600 Route 112, Coram, NY 11727-4116.
- What is Shannon Tierney's phone number?
- The practice phone number listed in the NPPES registry for Shannon Tierney is (631) 920-8610.
- Is Shannon Tierney's NPI active?
- Yes — Shannon Tierney's NPI (1053933085) is active in the NPPES registry as of the last update on 2020-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.