Active NPI
Elizabeth Joy Travaglino, RMHCI
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1366037863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17136
- Practice address
- 5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400 - Phone
- (561) 244-9499
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17136 | FL | Primary |
Addresses
Primary practice location
5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400
Mailing address
8995 N. Military Trail
Ste 300C
West Palm Beach, FL 33410
Phone (561) 244-9499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Beth@centerforchildcounseling.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17136 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Child Counseling, Inc | Current | Accepting new patients |
Locations
5205 Greenwood Ave
Ste 105
West Palm Beach, FL 33407
Phone (561) 244-9499
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- West Palm Beach, FL
- NPI 1518305747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1366037863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8995 N. MILITARY TRAIL",
"address_2": "STE 300C",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-244-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 GREENWOOD AVE STE 105",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072400",
"telephone_number": "561-244-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVAGLINO",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"credential": "RMHCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "17136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "00000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Beth@centerforchildcounseling.org",
"affiliation": "N",
"address_1": "5205 Greenwood Ave Ste 105",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334072400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.