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

Tyson Everett, CSAC

Individual provider Case Management Agency · NPI 1255717385

Tyson Everett, CSAC is a Mental Health Counselor in Chicago, Illinois. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

5500 S Indiana Ave Bsmt
Chicago, IL 60637-1011
Phone: (773) 488-9460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence A-3249-0001 (IL)

Record details

NPI number1255717385
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorYes
NPI enumeratedJuly 30, 2015
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 16, 2024
Mailing address5500 S Indiana Ave Bsmt, Chicago, IL 60637-1011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Chicago