Organization Active NPI

Travis Jeffords PLLC

  • Counselor
  • Greensboro, NC
National Provider Identifier
1821861485
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TRAVIS JEFFORDS PLLC
Practice address
438 W Friendly Ave
Greensboro, NC 27401-2202
Phone
(512) 635-9971
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Travis Jeffords, LCMHCA, MDIV
Title
Member
Phone
(512) 635-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

438 W Friendly Ave
Greensboro, NC 27401-2202

Mailing address

5400 Ashmont Dr
Greensboro, NC 27410-3102
Phone (512) 635-9971

National Provider Directory

National Provider Directory

Locations

438 W Friendly Ave
Greensboro, NC 27401
Phone (512) 635-9971

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1821861485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 ASHMONT DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103102",
            "telephone_number": "512-635-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012202",
            "telephone_number": "512-635-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS JEFFORDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-635-9971",
        "authorized_official_credential": "LCMHCA, MDIV"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.