Individual provider Active NPI

Leah M Travis, LMFT

  • Marriage & Family Therapist
  • Chapel Hill, NC
National Provider Identifier
1801102488
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 1592 Issued in NC
Practice address
150 Providence Rd Ste 100D
Chapel Hill, NC 27514-2208
Phone
(919) 873-4323
Fax
(919) 646-9589
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85000023A IN
Marriage & Family Therapist 106H00000X 208.000162 IL
Marriage & Family Therapist 106H00000X 166000905 IL
Marriage & Family Therapist 106H00000X LMFT 1592 NC Primary

Addresses

Primary practice location

150 Providence Rd Ste 100D
Chapel Hill, NC 27514-2208

Mailing address

150 Providence Rd Ste 100D
Chapel Hill, NC 27514-2208
Phone (919) 873-4323

Other names 1

  • Ms. Leah M Grant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 22, 2025 through Jul 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166000905ILMDMarriage & Family Therapist
208.000162ILMDMarriage & Family Therapist
85000023AINMDMarriage & Family Therapist
LMFT 1592NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stone & Ivy Relationship Counseling, PLLC Marriage & Family Therapist CurrentSince Feb 24, 2022 Accepting new patients
Greenlee Psychological and Support Services, PLLC Past Accepting new patients

Locations

150 Providence Rd
Ste 100D
Chapel Hill, NC 27514
Phone (919) 362-0081

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1801102488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD STE 100D",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "919-873-4323",
            "fax_number": "919-646-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD STE 100D",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "919-873-4323",
            "fax_number": "919-646-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "LEAH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000023A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000162",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000905",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "LMFT 1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "GRANT",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.