Travis Benjamin Atchison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17989 Issued in FL

Practice address

3941 68TH Ave N
Pinellas Park, FL 33781-6136

Phone

(277) 657-7761

Fax

(727) 865-5178

NPI assigned

Oct 29, 2020

Last updated

Dec 2, 2025By the provider in NPPES

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Patchison LLC

  dba Mind Manifesting Counseling

  • Clinical Social Worker
  • Largo, FL
  • NPI 1841178977
  Medicare reassignment NPD Authorized official
• Quality BHS Florida, LLC

  dba Quality Behavioral Health Services

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Sarasota, FL
  • NPI 1033984448
  NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1124628169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "277-657-7761",
            "fax_number": "727-865-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "277-657-7761",
            "fax_number": "727-865-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "TRAVIS",
        "middle_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlington Garden, LLC
• Kaitlyn Arnold, M.S., BCBA
• Reynaldo E Arrieta, APRN
• Briana Asmar
• Assuranurse LLC
• Cheryl Atkinson, LMT
• Annette Atwood
• Avica, LLC (West Coast Support Services)
• Ba-R3L LLC
• Cheryllyn Ann Bachelor

• Clinical Social Worker in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.