Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP

Individual provider Psychologist · NPI 1083168041

Dr. Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP is a Psychologist in St Charles, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2016.

Licensed in
IL, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

555 S Randall Rd Ste 204
St Charles, IL 60174-5918
Phone: (312) 818-9300
Fax: (888) 488-2604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.009432 (IL)
Psychologist Taxonomy 103T00000X · Licence 3415 - 57 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180009177 (IL)

Record details

NPI number1083168041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LCPC , LSOE/TP
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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