Lennox Travis Buchanan, M.S., LMFT, LAADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 78884 Issued in CA

Practice address

218 W Main St Ste 101
Tustin, CA 92780-7709

Phone

(714) 668-1962

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Travis Buchanan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1427303320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807709",
            "telephone_number": "714-668-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807709",
            "telephone_number": "714-668-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "LENNOX",
        "middle_name": "TRAVIS",
        "credential": "M.S., LMFT, LAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR02830518",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 78884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "BUCHANAN",
            "credential": "M.S., LMFT, LAADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dawn L Bruner, MD
• Lietta Diana Brutsche, CADC II
• Cheridan Bryant
• Bryenton Family Chiropractic PC
• Matthew Thane Bryenton, D.C.
• Meghan Patricia Buchanan
• Alexis Villanueva Buenaventura
• Khuong Anh Bui, DR
• Kim-Anh Bui, PHARM D
• Vinh The Bui, PHARMD

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.