Active NPI
Travis Paul Drake, LPCA
- Mental Health Counselor
- Mt Sterling, KY
National Provider Identifier
1609417450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 283015
- Practice address
- 1200 Larkwood Dr
Mt Sterling, KY 40353-8847 - Phone
- (606) 481-1609
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 260120 | KY | |
| Mental Health Counselor | 101YM0800X | 283015 | KY | Primary |
Addresses
Primary practice location
1200 Larkwood Dr
Mt Sterling, KY 40353-8847
Mailing address
1200 Larkwood Dr
Mt Sterling, KY 40353-8847
Phone (606) 481-1609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1422
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283015 | KY | MD | Mental Health Counselor |
| 260120 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Counseling Center, LLC | Professional | Current | Accepting new patients |
Locations
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
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": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1609417450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LARKWOOD DR",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403538847",
"telephone_number": "606-481-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LARKWOOD DR",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403538847",
"telephone_number": "606-481-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "TRAVIS",
"middle_name": "PAUL",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "260120",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "283015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.