Travis Constance, LCDC,LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDC141119-3 Issued in OH

Practice address

1070 College Ave
Columbus, OH 43209-2374

Phone

(614) 231-1890

Fax

(614) 231-4978

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jewish Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1902822091
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1104239680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092374",
            "telephone_number": "614-231-1890",
            "fax_number": "614-231-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092374",
            "telephone_number": "614-231-1890",
            "fax_number": "614-231-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANCE",
        "first_name": "TRAVIS",
        "credential": "LCDC,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC141119-3",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1300200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consolidated Medical Specialists, Inc.
• Consolidated Resources Health
• Consolidated Resources Health Care
• Kathy Ann Consoliver, OTR
• Mark R. Constable, APRN-CNP
• Constant Care Home Health Services LLC
• Constant Moving Transportation and Logistics
• Constant Support Care LLC
• Kate Whitney Consul
• Michael Jared Conte, PT, DPT

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.