Travis Ford King

Primary specialty

Social WorkerTaxonomy code 104100000X

License

229291 Issued in MA

Practice address

50 Beaver St Ste 301
Albany, NY 12207-1504

Phone

(518) 245-6272

Fax

(518) 992-2232

NPI assigned

Jul 7, 2021

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Unity House of Troy, Inc.

  • Early Intervention Provider Agency
  • Troy, NY
  • NPI 1740433911
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1346811791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEAVER ST STE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071504",
            "telephone_number": "518-245-6272",
            "fax_number": "518-992-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEAVER ST STE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071504",
            "telephone_number": "518-245-6272",
            "fax_number": "518-992-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TRAVIS",
        "middle_name": "FORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114918",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110333-01",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "229291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared King, D.O.
• Joshua A King, M.D.
• Kevin King, MD
• Maryellen King, NP
• Santana Louise King
• Andrea Lauren Kingsley, CRNA
• David Kingsley
• Nicole Kingsley, DPT
• Kathryn Marie Kinisky, LMHC
• Kintsugi: Integrative Practice NP in Psychiatry, PLLC (Kintsugi: Integrative Practice)

• Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.