Travis Fragale, LPC
Individual provider Active NPI Professional Counselor · Atlantic Highlands, NJ
NPI 1306405121 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1306405121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00946500 (NJ)
- Practice address
- 52 Avenue C
Atlantic Highlands, NJ 07716-1134 - Phone
- (732) 337-3326
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00946500 | NJ | MD | Professional Counselor |
Interoperability endpoints
- lifestancehealth.travisfragale@148376.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00946500 | NJ | Yes |
Addresses
Primary practice location
52 Avenue C
Atlantic Highlands, NJ 07716-1134
Mailing address
52 Avenue C
Atlantic Highlands, NJ 07716-1134
Other providers in Atlantic Highlands, NJ
- Tina F Fidalgo
- First Call Health, LLC
- First Call Ppe LLC
- Five Star Day Care
- Fox Hill Counseling LLC
- Nancy C Freeman
- Tess Gagliano
- David Garaffa
- Caroline D. Garner
- Gary J Gawler MD PA
All providers in Atlantic Highlands, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.