Active NPI
Travis Maurice Spencer, LGPC
- Counselor
- Washington, DC
National Provider Identifier
1003660333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGPC200020
- Practice address
- 2115 Wisconsin Ave NW
Washington, DC 20007-2265 - Phone
- (202) 944-5400
- NPI assigned
- Apr 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGPC200020 | DC | Primary |
Addresses
Primary practice location
2115 Wisconsin Ave NW
Washington, DC 20007-2265
Mailing address
4714 Meade St NE
Washington, DC 20019-3946
Phone (202) 527-8062
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 |
|---|---|---|---|
| LGPC200020 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1003660333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 MEADE ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193946",
"telephone_number": "202-527-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072265",
"telephone_number": "202-944-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "TRAVIS",
"middle_name": "MAURICE",
"name_prefix": "Mr.",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "LGPC200020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.