Travis S Butner, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008998 Issued in VA

Practice address

316 Brook Park PL
Forest, VA 24551-2766

Phone

(434) 533-1088

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Impact Living Services

  • Professional Counselor
  • Forest, VA
  • NPI 1487054342
  NPD

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1467080416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FARMINGTON RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025557",
            "telephone_number": "540-905-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROOK PARK PL",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512766",
            "telephone_number": "434-533-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTNER",
        "first_name": "TRAVIS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarel Brown
• Lucas Brown, PT, DPT
• Marlee Rachel Bryant, DNP, FNP-BC
• Avigyil Buehler
• Ashley Lauren Burks, RPRS-IFPRS,CPRS
• Clint Buyalos, PHARMD
• Michelle Byrd
• Karis Olivia Callaway, LPC
• Cierra N Calloway, OTR/L
• Jennifer L Capone, HPMT, MT-BC

• Professional Counselor in Forest, VA
• Providers in Forest, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.