Organization Active NPI

Travectia Thearpy & Consulting, LLC

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1144717695
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRAVECTIA THEARPY & CONSULTING, LLC
Doing business as
POW Psychotherapy
Practice address
6640 Lyndale Ave S Ste 110
Minneapolis, MN 55423-2385
Phone
(612) 424-0339
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Ashley MyhreNPI 1194221572
Title
Owner/Therapist
Phone
(612) 424-0339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MN Primary

Addresses

Primary practice location

6640 Lyndale Ave S Ste 110
Minneapolis, MN 55423-2385

Mailing address

1670 Robert St S # 194
West Saint Paul, MN 55118-3918

Other names 1

  • POW Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

6640 Lyndale Ave S
Ste 110
Minneapolis, MN 55423
Phone (612) 324-0198

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1144717695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 ROBERT ST S # 194",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 LYNDALE AVE S STE 110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232385",
            "telephone_number": "612-424-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVECTIA THEARPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MYHRE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-424-0339"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POW Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.