Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Tissot

Individual provider Mental Health Counselor · NPI 1710192000

Kevin Tissot is a Mental Health Counselor in Wauwatosa, Wisconsin. Qualified in 2004, 22 years ago. Practices with Associated Mental Health Consultants Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2007
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Practice location Address checks out

2600 N Mayfair Rd
Wauwatosa, WI 53226-1309
Phone: (414) 257-0233
Fax: (414) 257-3588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4175-125 (WI)

Record details

NPI number1710192000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Associated Mental Health Consultants Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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