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: Is Tristan Mcbain enrolled in Medicare?

No. Tristan Mcbain has opted out of Medicare through August 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

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, 2015Opted out of Medicare · through Aug 17, 2026

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 09, 2026.

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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 has opted out of Medicare through August 17, 2026.

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

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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

ⓘ

Opted out of Medicare

Mrs. Tristan Danielle Mcbain Llpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2024 through August 17, 2026.

Opt-Out Effective DateAugust 17, 2024

Opt-Out In Effect ThroughAugust 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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