Active NPI
Travis Wade Byrne, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1700391141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0015347
- Practice address
- 1110 Wisdom HTS
Colorado Springs, CO 80907-2718 - Phone
- (720) 459-8333
- NPI assigned
- Dec 7, 2017
- Last updated
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0015347 | CO | Primary |
Addresses
Primary practice location
1110 Wisdom HTS
Colorado Springs, CO 80907-2718
Mailing address
1110 Wisdom HTS
Colorado Springs, CO 80907-2718
Phone (720) 459-2833
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015347 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1700391141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 WISDOM HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809072718",
"telephone_number": "720-459-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 WISDOM HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809072718",
"telephone_number": "720-459-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "TRAVIS",
"middle_name": "WADE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0015347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.