Travis James Atkinson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012242 Issued in MI

Practice address

3000 Wausaukee Dr NE
Grand Rapids, MI 49525-1916

Phone

(616) 914-0985

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1124644596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WAUSAUKEE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251916",
            "telephone_number": "616-914-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WAUSAUKEE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251916",
            "telephone_number": "616-914-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Atkins Jr., TLLP
• Katlynn Mychael Atkins
• Kendra Dee Atkinson, M.D.
• M Elizabeth Atkinson, MD
• Taylor Atkinson
• Atlas Family Chiropractic Clinic LLC
• Yamini Atluri
• Nidhi Manu Atri, MD
• Atrio Home Health
• Raluchukwu Colet Attah, MD

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.