Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Tierney

Individual provider Mental Health Counselor · NPI 1053933085

Shannon Tierney is a Mental Health Counselor in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 010033-01 (NY)

Record details

NPI number1053933085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address14202 20th Ave, Flushing, NY 11351-3000

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