Travis Riser, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

TRAVIS RISER, LLC

Practice address

634 Wilson PL
Frederick, MD 21702-4168

Phone

(301) 399-0198

NPI assigned

Jun 5, 2019

Last updated

Apr 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Riser, LCPCNPI 1912475435

Title

Owner

Phone

(301) 399-0198

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis D. Riser, LCPC

  • Counselor
  • Frederick, MD
  • NPI 1912475435
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1790343523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820B WORMANS MILL DR",
            "address_2": "PMB #135",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-399-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 WILSON PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024168",
            "telephone_number": "301-399-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS RISER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "RISER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-399-0198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912475435",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.