Individual provider Active NPI

Travis Scott Bobb, PHD, LCMHC

  • Professional Counselor
  • Huntersville, NC
National Provider Identifier
1093749368
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S4912 Issued in NC
Practice address
16507 Northcross Drive
Suite F
Huntersville, NC 28078
Phone
(704) 277-8197
Fax
(980) 999-4058
NPI assigned
Jul 10, 2006
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X S4912 NC
Mental Health Counselor 101YM0800X S4912 NC
Professional Counselor 101YP2500X S4912 NC Primary

Addresses

Primary practice location

16507 Northcross Drive
Suite F
Huntersville, NC 28078

Mailing address

16507 Northcross Dr Ste F
Huntersville, NC 28078-5082
Phone (704) 277-8197

Other practice location 1

10225 Hickorywood Hill Ave Ste B
Huntersville, NC 28078-3431
Phone (704) 277-8197

Other practice location 2

16507 Northcross Dr Ste H
Huntersville, NC 28078-5082
Phone (704) 277-8197

Other identifiers 1

IdentifierTypeStateIssuer
6102953MedicaidNC

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S4912NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huntersville Counseling Center, PLLC Counselor Current Accepting new patients

Locations

16507 Northcross Dr
Ste F
Huntersville, NC 28078
Phone (980) 999-4006

16507 Northcross Dr
Ste H
Huntersville, NC 28078
Phone (704) 891-8683

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1093749368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-277-8197",
            "fax_number": "980-999-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DRIVE",
            "address_2": "SUITE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-277-8197",
            "fax_number": "980-999-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10225 Hickorywood Hill Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783431",
            "country_code": "US",
            "telephone_number": "704-277-8197",
            "fax_number": "704-973-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16507 Northcross Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785082",
            "country_code": "US",
            "telephone_number": "704-277-8197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBB",
        "first_name": "TRAVIS",
        "middle_name": "SCOTT",
        "credential": "PHD, LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "S4912",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S4912",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S4912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102953",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.