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TRYSTEN FUGATE BS
NPI 1093386393
Counselor - Mental Health in Mattoon, IL

Active since July 07, 2021
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5735 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trysten Fugate Bs NPPES

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

TRYSTEN FUGATE BS (NPI 1093386393) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1093386393
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRYSTEN FUGATECredential: BS
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5735
Phone(217) 238-5735
Sole ProprietorNo
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1093386393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938
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Other Providers at the Same Location NPPES 20

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

KIAYA LOY MS, MHP
Counselor
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
NERISSA JONES BA
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5735
JESSICA MILBURN LCPC
Counselor (Professional)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
TAYLOR DOWNEY MS
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
ALLEN M. CREAMEAN B.S.
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
MADELEINE STONE
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
AMY KIRKMAN
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700
DANIELLE NEWCOMER
Counselor (Mental Health)
750 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 238-5700

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 Trysten Fugate's NPI number?

The NPI number for Trysten Fugate is 1093386393. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Trysten Fugate located?

Trysten Fugate practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5735.

What is Trysten Fugate's specialty?

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

When was this NPI record last updated?

The NPPES record for Trysten Fugate was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.