MRS. TRISTAN DANIELLE MCBAIN LLPC
NPI 1154712735
Counselor in Jackson, MI

Q: What is Tristan Mcbain's NPI number?

The NPI number for Tristan Mcbain is 1154712735. It was assigned to this individual provider in the NPPES registry on February 18, 2015. The provider is also known as Tristan Danielle Dehaven.

Q: What is Tristan Mcbain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tristan Mcbain was last updated on February 18, 2015. 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.

Active since February 18, 2015PECOS Enrolled

330 W MICHIGAN AVE, JACKSON, MI 49201(517) 787-7920(517) 796-7987 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mrs. Tristan Danielle Mcbain Llpc NPPES

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

MRS. TRISTAN DANIELLE MCBAIN LLPC (NPI 1154712735) is an individual counselor in Jackson, Michigan, licensed in Michigan (6401014695) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154712735

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. TRISTAN DANIELLE MCBAINCredential: LLPC

Location Address330 W MICHIGAN AVEJackson, MI 49201-2121

Mailing Address330 W Michigan AveJackson, MI 49201-2121 · (517) 787-7920 · Fax (517) 796-7987

Phone(517) 787-7920

Fax(517) 796-7987

Sole ProprietorNo

Enumeration DateFebruary 18, 2015

✔ NPI 1154712735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401014695

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.

330 W MICHIGAN AVE, Jackson, MI 49201

Open in Google Maps ↗

Other Names 1

Former Name (1)Tristan Danielle Dehaven

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tristan Danielle Mcbain Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MEREDITH BOSOWSKI

Case Manager/Care Coordinator