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KYLE JUSTIN TAM BS
NPI 1114697422
Counselor in Mattoon, IL

Active since September 17, 2021
750 BROADWAY AVE E, MATTOON, IL 61938(217) 238-5700 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Justin Tam Bs NPPES

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

KYLE JUSTIN TAM BS (NPI 1114697422) is an individual counselor in Mattoon, Illinois and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1114697422
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKYLE JUSTIN TAMCredential: BS
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700
Phone(217) 238-5700
Sole ProprietorNo
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1114697422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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 Kyle Tam's NPI number?

The NPI number for Kyle Tam is 1114697422. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Kyle Tam located?

Kyle Tam practices at 750 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 238-5700.

What is Kyle Tam's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kyle Tam was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.