Individual provider Active NPI

Travis Ray Strange, LPC - SUPERVISOR

  • Counselor
  • Waxahachie, TX
National Provider Identifier
1750438966
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
19661 Issued in TX
Practice address
133 Chieftain Dr Ste 105
Waxahachie, TX 75165-1587
Phone
(469) 773-0980
NPI assigned
Jan 3, 2007
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 19661 TX Primary

Addresses

Primary practice location

133 Chieftain Dr Ste 105
Waxahachie, TX 75165-1587

Mailing address

547 Santa Fe TRL
Waxahachie, TX 75165-1513
Phone (469) 383-9988

Other identifiers 1

IdentifierTypeStateIssuer
176331001MedicaidTX

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1750438966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SANTA FE TRL",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651513",
            "telephone_number": "469-383-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHIEFTAIN DR STE 105",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651587",
            "telephone_number": "469-773-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "TRAVIS",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LPC - SUPERVISOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176331001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.