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TRISTAN N MCKINNIS LCPC
NPI 1104229921
Counselor - Professional in Chicago, IL

Active since October 07, 2014
6638 W BRYN MAWR AVE, CHICAGO, IL 60631(913) 645-8864 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tristan N Mckinnis Lcpc NPPES

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

TRISTAN N MCKINNIS LCPC (NPI 1104229921) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.009319) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1104229921
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRISTAN N MCKINNISCredential: LCPC
Location Address6638 W BRYN MAWR AVEChicago, IL 60631-3119
Mailing Address6638 W Bryn Mawr AveChicago, IL 60631-3119 · (913) 645-8864
Phone(913) 645-8864
Sole ProprietorNo
Enumeration DateOctober 7, 2014
✔ NPI 1104229921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.009319
6638 W BRYN MAWR AVE, Chicago, IL 60631
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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 Tristan Mckinnis's NPI number?

The NPI number for Tristan Mckinnis is 1104229921. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Where is Tristan Mckinnis located?

Tristan Mckinnis practices at 6638 W Bryn Mawr Ave, Chicago, IL 60631. The listed phone number is (913) 645-8864.

What is Tristan Mckinnis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tristan Mckinnis was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.