Active NPI
Travis Smeltzer, MA, LCMHC, LCAS
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1700389236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13916
- Practice address
- 3121 Wrightsville Ave
Wilmington, NC 28403-4111 - Phone
- (910) 769-6053
- NPI assigned
- Mar 12, 2018
- 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 | 13916 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22570 | NC |
Addresses
Primary practice location
3121 Wrightsville Ave
Wilmington, NC 28403-4111
Mailing address
3121 Wrightsville Ave
Wilmington, NC 28403-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 15, 2024 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-22570 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 13916 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1700389236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 WRIGHTSVILLE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034111",
"telephone_number": "910-769-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELTZER",
"first_name": "TRAVIS",
"credential": "MA, LCMHC, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-12",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13916",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-22570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.