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
Mailing address2600 N Mayfair Rd, Wauwatosa, WI 53226-1309

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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