Individual provider Active NPI

Marion Frances Travers Jr., ED.D, LCPC, LCADC

  • Mental Health Counselor
  • Salisbury, MD
National Provider Identifier
1447526546
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC3841 Issued in MD
Practice address
1342 S Division St Unit 401
Salisbury, MD 21804-6921
Phone
(410) 845-6363
Fax
(443) 859-8584
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3841 MD
Mental Health Counselor 101YM0800X LC3841 MD Primary

Addresses

Primary practice location

1342 S Division St Unit 401
Salisbury, MD 21804-6921

Mailing address

1342 S Division St Unit 401
Salisbury, MD 21804-6921
Phone (410) 845-6363

Other practice location 1

24545 Shortly Rd
Georgetown, DE 19947-4912
Phone (443) 859-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240226003706 MD Practitioner - Mental Health Counselor 0446494116 Reassigns benefits to 1 organization
I20250320000065 DE Practitioner - Mental Health Counselor 0446494116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifemark Inc.Group PAC ID 1153635396, 10 clinicians

Practice addresses (Care Compare)

1342 S Division St
Suite 401
Salisbury, MD 21804-6921
Phone (443) 859-8584

24545 Shortly Rd
Georgetown, DE 19947-4912
Phone (443) 859-8584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemark Inc. Mental Health CurrentSince Mar 23, 2013 Accepting new patients

Locations

24545 Shortly Rd
Georgetown, DE 19947
Phone (443) 859-8584

1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1447526546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST UNIT 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "410-845-6363",
            "fax_number": "443-859-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST UNIT 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "410-845-6363",
            "fax_number": "443-859-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24545 Shortly Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474912",
            "country_code": "US",
            "telephone_number": "443-859-8584",
            "fax_number": "443-859-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "MARION",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "ED.D, LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3841",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.