KEVIN TISSOT NPI 1710192000

NPI Information

  • NPI: 1710192000
  • Provider Name: KEVIN TISSOT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2600 N MAYFAIR RD
    WAUWATOSA, WI
    ZIP 53226
  • Phone: (414) 257-0233

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NPI Details

Kevin Tissot is a mental health counselor in Wauwatosa, WI. Kevin Tissot NPI is 1710192000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2600 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53226-309
Phone: (414) 257-0233
Fax: (414) 257-3588

The enumeration date for this NPI number is 5/11/2007 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health4175-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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