Active NPI
Travis Jason Crotser, MA, LLPC
- Mental Health Counselor
- Sturgis, MI
National Provider Identifier
1811535164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401017966
- Practice address
- 103 S 4TH St
Sturgis, MI 49091-1819 - Phone
- (269) 651-3902
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401017966 | MI | Primary |
Addresses
Primary practice location
103 S 4TH St
Sturgis, MI 49091-1819
Mailing address
18123 S Fisher Lake Rd
Three Rivers, MI 49093-9148
Phone (269) 567-8459
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017966 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1811535164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18123 S FISHER LAKE RD",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490939148",
"telephone_number": "269-567-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S 4TH ST",
"city": "STURGIS",
"state": "MI",
"postal_code": "490911819",
"telephone_number": "269-651-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTSER",
"first_name": "TRAVIS",
"middle_name": "JASON",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401017966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.