Brant Howard Traylor-Knowles

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

245 Eustis St
Roxbury, MA 02119-2826

Phone

(617) 445-1123

NPI assigned

Jun 26, 2024

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Roxbury, MA
  • NPI 1205060621

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1477398055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BURBANK ST APT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153636",
            "telephone_number": "617-834-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 EUSTIS ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192826",
            "telephone_number": "617-445-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR-KNOWLES",
        "first_name": "BRANT",
        "middle_name": "HOWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Victoria Torres
• Luis Torres
• Dapney Toussaint
• Vita Chau Tran, RPH
• Travis Corporation
• Jason Walter Trenouth, MSPT
• Ebonee Troup, BS
• John Van Truong
• Justin Tsouros
• Mitchell Tucci, PHARMD

• Addiction (Substance Use Disorder) Counselor in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.