Individual provider Active NPI

Travis Chazon

  • Mental Health Counselor
  • Jupiter, FL
National Provider Identifier
1558110577
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23828 Issued in FL
Practice address
17133 Alexander Run
Jupiter, FL 33478-5274
Phone
(561) 389-2575
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X MH23828 FL Primary

Addresses

Primary practice location

17133 Alexander Run
Jupiter, FL 33478-5274

Mailing address

17133 Alexander Run
Jupiter, FL 33478-5274
Phone (561) 389-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20240703003666 FL Practitioner - Mental Health Counselor 4981148780 Reassigns benefits to 2 organizations
I20250729003221 TX Practitioner - Mental Health Counselor 4981148780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23828FLMDMental Health Counselor
99559TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Horizons Counseling Services LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

1645 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 203-6079

Organizations & group practices 2

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1558110577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17133 ALEXANDER RUN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334785274",
            "telephone_number": "561-389-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17133 ALEXANDER RUN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334785274",
            "telephone_number": "561-389-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAZON",
        "first_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.