Active NPI
Kellie Travers
- Counselor
- Lynchburg, VA
National Provider Identifier
1891591517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704017267
- Practice address
- 20276A Timberlake Rd
Lynchburg, VA 24502-7214 - Phone
- (972) 740-9371
- NPI assigned
- Feb 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704017267 | VA | Primary |
Addresses
Primary practice location
20276A Timberlake Rd
Lynchburg, VA 24502-7214
Mailing address
2004 Wards Ferry Rd Apt 15
Lynchburg, VA 24502-2475
Phone (972) 740-9371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704017267 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1891591517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 WARDS FERRY RD APT 15",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022475",
"telephone_number": "972-740-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20276A TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027214",
"telephone_number": "972-740-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "KELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-22",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704017267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.