TERRI TYSON LLC
NPI 1750238812
Counselor - Professional in Chicago, IL

Active since March 16, 2026
680 N LAKE SHORE DR STE 110-1904, CHICAGO, IL 60611(866) 886-3371 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Terri Tyson Llc NPPES

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

TERRI TYSON LLC (NPI 1750238812) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Terri Tyson, Owner, as its authorized official.

NPPES Registry Identity

NPI1750238812
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTERRI TYSON LLC
Location Address680 N LAKE SHORE DR STE 110-1904Chicago, IL 60611-4546
Mailing Address680 N Lake Shore Dr Ste 110-1904Chicago, IL 60611-4546
Organization SubpartNo
Authorized OfficialTerri TysonOwner · (866) 886-3371
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1750238812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
680 N LAKE SHORE DR STE 110-1904, Chicago, IL 60611

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri Tyson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Terri Tyson LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1477053205
919 W MARGATE TER APT 1E
Chicago, IL 60640
(312) 363-7371
✔ PECOS5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Terri Tyson LLC's NPI number?

The NPI number for Terri Tyson LLC is 1750238812. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Terri Tyson LLC located?

Terri Tyson LLC is located at 680 N Lake Shore Dr Ste 110-1904, Chicago, IL 60611. The listed phone number is (866) 886-3371.

What is Terri Tyson LLC's specialty?

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

Is Terri Tyson LLC enrolled in Medicare?

Yes. Terri Tyson LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Terri Tyson LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Terri Tyson LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Terri Tyson LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.