Active NPI
Travis Lionel Macklin, LGPC
- Counselor
- Greenbelt, MD
National Provider Identifier
1114608544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP13686
- Practice address
- 7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3596 - Phone
- (240) 304-3327
- Fax
- (410) 609-7091
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | LGP13686 | MD | Primary |
Addresses
Primary practice location
7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3596
Mailing address
7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3596
Phone (240) 304-3327
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 |
|---|---|---|---|
| LGP13686 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1114608544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 202",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703596",
"telephone_number": "240-304-3327",
"fax_number": "410-609-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 202",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703596",
"telephone_number": "240-304-3327",
"fax_number": "410-609-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "TRAVIS",
"middle_name": "LIONEL",
"name_prefix": "Mr.",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP13686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.