Active NPI
Nicolas Travisano, LPC
- Mental Health Counselor
- North Haven, CT
National Provider Identifier
1407646649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008056
- Practice address
- 43 Culver LN
North Haven, CT 06473-3728 - Phone
- (203) 815-8847
- NPI assigned
- May 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 008056 | CT | Primary |
Addresses
Primary practice location
43 Culver LN
North Haven, CT 06473-3728
Mailing address
43 Culver LN
North Haven, CT 06473-3728
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 |
|---|---|---|---|
| 008056 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1407646649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CULVER LN",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CULVER LN",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733728",
"telephone_number": "203-815-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVISANO",
"first_name": "NICOLAS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-10",
"last_updated": "2025-05-10",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "008056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.