MISTIE ANN TENNANT LCPC
NPI 1265066880
Counselor - Mental Health in Belleville, IL

Active since February 24, 2020
115 LINCOLN PLACE CT STE 102, BELLEVILLE, IL 62221(314) 643-8664(614) 416-1401 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Feb 24, 2020 (2 updates tracked since 2020).

About Mistie Ann Tennant Lcpc NPPES

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

MISTIE ANN TENNANT LCPC (NPI 1265066880) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (180.012771) and active in the NPI registry since February 2020. She maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1265066880
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISTIE ANN TENNANTCredential: LCPC
Location Address115 LINCOLN PLACE CT STE 102Belleville, IL 62221
Mailing Address115 Lincoln Place Ct Ste 102Belleville, IL 62221-5876 · (314) 643-8664 · Fax (618) 416-1401
Fax(614) 416-1401
Sole ProprietorNo
Enumeration DateFebruary 24, 2020
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1265066880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.012771
115 LINCOLN PLACE CT STE 102, Belleville, IL 62221

Secondary Practice Location 1

Location 12900 Frank Scott Pkwy W Ste 990Belleville, IL 62223-5000 · Phone (618) 236-6501 · Fax (618) 236-6551

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
115 LINCOLN PLACE CT STE 102
BELLEVILLE, IL 62221
Counselor (Professional)
115 LINCOLN PLACE CT STE 102
BELLEVILLE, IL 62221

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 Mistie Tennant's NPI number?

The NPI number for Mistie Tennant is 1265066880. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Mistie Tennant located?

Mistie Tennant practices at 115 Lincoln Place Ct Ste 102, Belleville, IL 62221. The listed phone number is (314) 643-8664.

What is Mistie Tennant's specialty?

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

What insurance does Mistie Tennant accept?

Health plans from UnitedHealthcare list Mistie Tennant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mistie Tennant was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.