Active NPI
Travis Allen Pittock, MA, LPC, LSOTP
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1184411407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87448
- Practice address
- 3905 105TH St
Lubbock, TX 79423-8101 - Phone
- (682) 270-6340
- NPI assigned
- Apr 21, 2025
- Last updated
- Mar 9, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87448 | TX | Primary |
Addresses
Primary practice location
3905 105TH St
Lubbock, TX 79423-8101
Mailing address
3905 105TH St
Lubbock, TX 79423-8101
Phone (682) 270-6340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4601 66TH St
Suite D
Lubbock, TX 79414-4875
Phone (806) 712-5225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87448 | TX | MD | Professional Counselor |
Organizations & group practices 2
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.
-
dba Phoenix Arise
- Professional Counselor
- Lubbock, TX
- NPI 1780270173
-
- Psychologist
- Houston, TX
- NPI 1649566795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1184411407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 105TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794238101",
"telephone_number": "682-270-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 105TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794238101",
"telephone_number": "682-270-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTOCK",
"first_name": "TRAVIS",
"middle_name": "ALLEN",
"credential": "MA, LPC, LSOTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-21",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Katie Pistoria, M.S., CCC-SLP
- Pitifer Ace Medical Equipment, Inc. (Ace Medical Equipment, Inc.)
- Anthony Pitifer, ATP
- Courtney Alexandria Pitman, DO
- Christy Earl Pitner, OTR
- John Pixley, M.D.
- PL Medical Supply Inc (Productive Life Medical Supply)
- Angelica Denise Placek
- Victoria Placencia
- Planned Parenthood of Greater Texas Family Planning & Preventative Hea
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.