TRISTAN MCKENZIE P.HD., LPC-MHSP, NCC
NPI 1922678309
Counselor - Mental Health in Cordova, TN
About Tristan Mckenzie P.hd., Lpc-mhsp, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRISTAN MCKENZIE P.HD., LPC-MHSP, NCC (NPI 1922678309) is an individual mental health provider in Cordova, Tennessee, licensed in Tennessee (7254) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tristan Mckenzie P.hd., Lpc-mhsp, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tristan Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cordova, TN 38018
- Reassigned Medicare billing, Tennessee enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORDOVA, TN 38018
CORDOVA, TN 38018
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 Tristan Mckenzie's NPI number?
The NPI number for Tristan Mckenzie is 1922678309. It was assigned to this individual provider in the NPPES registry on June 29, 2021.
Where is Tristan Mckenzie located?
Tristan Mckenzie practices at 65 Germantown Ct Ste 402, Cordova, TN 38018. The listed phone number is (901) 752-4900.
What is Tristan Mckenzie's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tristan Mckenzie enrolled in Medicare?
Yes. Tristan Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tristan Mckenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Mckenzie reassigns Medicare benefits to Jim Pang MD PLLC (Cordova, TN). The 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 Tristan Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tristan Mckenzie accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Tristan Mckenzie 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 Tristan Mckenzie was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Tristan Mckenzie, P.HD., LPC-MHSP, NCC · NPI 1922678309
Mental Health provider in Cordova, Tennessee. Individual provider, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1922678309 (Entity type: Individual)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 65 GERMANTOWN CT STE 402, Cordova, TN 38018-4275
- **Phone:** (901) 752-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jim Pang MD PLLC (NPI 1447620901, Cordova, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922678309) · Data from the CMS NPPES public registry.