Individual provider Active NPI

Travis Cowart, LMHC

  • Mental Health Counselor
  • Fulton, NY
National Provider Identifier
1104760271
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017834 Issued in NY
Practice address
510 S 4TH St Ste 600
Fulton, NY 13069-2952
Phone
(315) 598-4790
Fax
(315) 593-6195
NPI assigned
Apr 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 017834 NY Primary

Addresses

Primary practice location

510 S 4TH St Ste 600
Fulton, NY 13069-2952

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other practice location 1

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260501002166 NY Practitioner - Mental Health Counselor 3971071507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4814 Buckley Rd Apt
Suite 5
Liverpool, NY 13088-3686

61 Delano St
Pulaski, NY 13142-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1104760271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST STE 600",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692952",
            "telephone_number": "315-598-4790",
            "fax_number": "315-593-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Delano St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131421400",
            "country_code": "US",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-3968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWART",
        "first_name": "TRAVIS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.