THEODORE MCTIERNAN (NPI# 1609492644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609492644 |
| Entity Type | Individual |
| Full Name | THEODORE MCTIERNAN |
| Practice Address |
4010 Dupont Cir Ste 226 Louisville KY 40207-4847 |
| Practice Telephone | 5028968006 |
| Mailing Telephone | 5028968006 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
246100 | KY | Behavioral Health & Social Service Providers |
| Street Address |
4010 DUPONT CIR STE 226 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901040 | Julia Schroeder | Anesthesiology | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2005-09-06 |
| 1104436146 | Alisia Jackson | Nurse Practitioner | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2020-08-04 |
| 1346882495 | Adam Taylor Fowler | Social Worker | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-10-10 |
| 1427699909 | Tatjana Gabrielle Lauterbach | Social Worker | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-10-04 |
| 1457992299 | Joseph Delano Wibbels Jr. | Case Manager/Care Coordinator | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-10-02 |
| 1790337897 | Julia A Schroeder Md Pllc | Anesthesiology | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-07-10 |
| 1871157354 | Lauren Nicole Stroud | Case Manager/Care Coordinator | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-04-30 |
| 1851859300 | Jessica Smith | Case Manager/Care Coordinator | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-03-04 |
| 1780148130 | Taylor Daugherty | Social Worker | 4010 Dupont Cir Ste 226, Louisville, KY 40207-4847 | 2019-01-29 |
| 1730553231 | Margaret Nelle Farnsworth | Marriage & Family Therapist | 4010 Dupont Cir Ste 226, Ste #226, Louisville, KY 40207-4847 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1386284214 | Aa&associates of Kentucky LLC | Counselor | 3038 Breckenridge Ln Ste 204, Louisville, KY 40220-2195 | 2020-01-08 |
| 1861039661 | Campbellsville University | Counselor | 4420 Dixie Hwy Ste 230, Louisville, KY 40216-2986 | 2019-11-30 |
| 1720642374 | Yolanda Carnessali-powell | Counselor | 1448 S 15th St, Louisville, KY 40210-1838 | 2019-04-30 |
| 1538622295 | Stephanie Amber Gentile | Counselor | 1169 Eastern Pkwy Ste 1124, Louisville, KY 40217-1462 | 2019-04-10 |
| 1881166999 | Aileen M Bryant-wales | Counselor | 2133 W Market St, Louisville, KY 40212-1532 | 2018-12-31 |
| 1043710338 | Erin Dawn Jarrett | Counselor | 1939 Goldsmith Ln Ste 147, Louisville, KY 40218-3047 | 2018-02-13 |
| 1265946859 | Yolonda J Armstead | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2017-11-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on THEODORE MCTIERNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.