Travis M. Tebbetts, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

35 Park LN
Brewster, MA 02631-1741

Phone

(508) 942-7189

NPI assigned

Oct 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1205385283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PARK LN",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311741",
            "telephone_number": "508-942-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PARK LN",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311741",
            "telephone_number": "508-942-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Main St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth Port",
            "state": "MA",
            "postal_code": "026752000",
            "country_code": "US",
            "telephone_number": "508-942-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBBETTS",
        "first_name": "TRAVIS",
        "middle_name": "M.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Sullivan, M.A, ,L.M.H.C.
• Nancy Jean Sweeney, LMHC
• Stephen R Tag, DC
• Paul James Tausek, MSW LICSW
• Michael Lee Taylor, LICSW
• Theodor T. Herwig, M.D., P.C.
• Mae Timmons, MS/CCC
• Elizabeth M Torcivia
• Town of Brewster
• Carin Trainer, LIC.AC.

• Mental Health Counselor in Brewster, MA
• Providers in Brewster, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.