Individual provider Active NPI

Laura Nicole Travagiakis, T-LMFT

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1568046654
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
09644 Issued in IA
Practice address
215 4TH Ave SE Ste 300
Cedar Rapids, IA 52401-1844
Phone
(319) 804-9930
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 09644 IA Primary

Addresses

Primary practice location

215 4TH Ave SE Ste 300
Cedar Rapids, IA 52401-1844

Mailing address

1331 Hinkley Ave NW
Cedar Rapids, IA 52405-3705
Phone (319) 804-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09644IAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1568046654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 HINKLEY AVE NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053705",
            "telephone_number": "319-804-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 4TH AVE SE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011844",
            "telephone_number": "319-804-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVAGIAKIS",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "T-LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "09644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.