Tristan McKenzie, P.HD., LPC-MHSP, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

65 Germantown CT Ste 402
Cordova, TN 38018-4275

Phone

(901) 752-4900

NPI assigned

Jun 29, 2021

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jim Pang MD PLLCGroup PAC ID 4688925696, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tristan.mckenzie.1@32437.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jim Pang MD PLLC

  dba Interventional Psychiatry Group

  • Clinic/Center
  • Cordova, TN
  • NPI 1447620901
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1922678309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 LAURIE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202455",
            "telephone_number": "901-626-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT STE 402",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184275",
            "telephone_number": "901-752-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "TRISTAN",
        "credential": "P.HD., LPC-MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7254",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isiah McCray III, PHARM D
• Amber Denice McCulley
• Nakita McDowell, SLPA
• Patrick E McGee, D.D.S
• Sandra Claire McKay, FNP
• Angela Paige McKnight, FNP-BC
• Rochelle Louise McLarty, MSN, PMHNP-BC
• Elizabeth McMahon, MA, CCC-SLP
• Sherry Vanessa McMillan
• Kyrstyn Nichole McNeill, NP

• Mental Health Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.