Individual provider Active NPI

Travis J Kern, LPC

  • Counselor
  • Dallas, TX
National Provider Identifier
1194597880
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
78415 Issued in TX
Practice address
8350 Meadow Rd # 281
Dallas, TX 75231-3768
Phone
(214) 265-1777
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 78415 TX Primary

Addresses

Primary practice location

8350 Meadow Rd # 281
Dallas, TX 75231-3768

Mailing address

2480 El Cerrito Dr
Dallas, TX 75228-5911
Phone (469) 231-7598

Other practice location 1

104 N McGraw St
Forney, TX 75126-8656
Phone (214) 265-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
78415TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1194597880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 EL CERRITO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285911",
            "telephone_number": "469-231-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 MEADOW RD # 281",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313768",
            "telephone_number": "214-265-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N McGraw St",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268656",
            "country_code": "US",
            "telephone_number": "214-265-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "78415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.