Individual provider Active NPI

David Keith Trayford, MS LPC NCC ATSA

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1669528147
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2111 Issued in NC
Practice address
910 Mill Ave
High Point, NC 27260-1628
Phone
(336) 822-2827
Fax
(336) 833-4015
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2111 NC Primary

Addresses

Primary practice location

910 Mill Ave
High Point, NC 27260-1628

Mailing address

110 Woodhaven Dr
Lexington, NC 27295-1666
Phone (336) 249-4653

Other identifiers 1

IdentifierTypeStateIssuer
6107456MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2111NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1669528147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODHAVEN DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951666",
            "telephone_number": "336-249-4653",
            "fax_number": "336-249-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MILL AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601628",
            "telephone_number": "336-822-2827",
            "fax_number": "336-833-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYFORD",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "credential": "MS LPC NCC ATSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107456",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.