Travis Glass Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRAVIS GLASS COUNSELING PLLC

Doing business as

NeuroGrowth Counseling and Wellness

Practice address

352 2ND St NW Ste 105
Hickory, NC 28601-4954

Phone

(828) 781-0778

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Travis Shay Glass, LCMHCNPI 1932384542

Title

Owner

Phone

(828) 781-0778

Specialties & licenses 1

Addresses

Other names 1

• NeuroGrowth Counseling and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Glass, MA

  • Professional Counselor
  • Hickory, NC
  • NPI 1932384542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1124871306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 2ND ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014908",
            "telephone_number": "828-781-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 2ND ST NW STE 105",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014954",
            "telephone_number": "828-781-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS GLASS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-781-0778",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroGrowth Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Renal Care of North Carolina LLC
• Total Success LLC
• George Toth, M.D.
• Nancy J Toy, M.D.
• Melanie M Trado, PA-C
• Savannah Maria Tribolet, LCAS-A
• Trina Insook Tridico, MD
• Jason Triplett, MA, LPCA, NCC
• Janese Agnew Trivette, NP
• Jennifer Carpenter Trivette, OTRL

• Professional Counselor in Hickory, NC
• Providers in Hickory, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.