Active NPI
Tristen Hyatt, LPC, NCC,
- Mental Health Counselor
- Cleveland, GA
National Provider Identifier
1497470033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011078
- Practice address
- 3840 Westmoreland Rd Lot 28
Cleveland, GA 30528-4867 - Phone
- (850) 404-4232
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011078 | GA | Primary |
Addresses
Primary practice location
3840 Westmoreland Rd Lot 28
Cleveland, GA 30528-4867
Mailing address
250 East Jarrard Street, Suite C
PMB 166
Cleveland, GA 30528
Phone (706) 289-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011078 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1497470033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 EAST JARRARD STREET, SUITE C",
"address_2": "PMB 166",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "30528",
"telephone_number": "706-289-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 WESTMORELAND RD LOT 28",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305284867",
"telephone_number": "850-404-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "TRISTEN",
"credential": "LPC, NCC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "011078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, GA
- Heather Lynn Higgins, FNP-C
- Corey Franklin Hill, DPT
- Clark Holloman
- Jeremy Steven Holloway, D.M.D
- Kendyl Brock Hunter, OT
- Independent Physical Therapy of Ga LLC (Benchmark PT)
- Ingles Markets Inc (Ingles Pharmacy #489)
- J H Telfords Sons Inc (Griffin Drug Store)
- Joe Reed Opticians
- John J. Crumpton DMD, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.