Individual provider Active NPI

Travis D. Riser, LCPC

  • Counselor
  • Frederick, MD
National Provider Identifier
1912475435
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC7675 Issued in MD
Practice address
634 Wilson PL
Frederick, MD 21702-4168
Phone
(301) 399-0198
NPI assigned
Nov 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC7675 MD Primary

Addresses

Primary practice location

634 Wilson PL
Frederick, MD 21702-4168

Mailing address

7820B Wormans Mill Rd
PMB #135
Frederick, MD 21701
Phone (301) 399-0198

Other practice location 1

1003 W 7th St Ste 100
Frederick, MD 21701-4131
Phone (301) 345-1022

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

LicenseStateTypeSpecialty
LC7675MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Riser, LLC Counselor CurrentSince Apr 24, 2022 Accepting new patients

Locations

7820 Wormans Mill Rd
Ste B
Frederick, MD 21701
Phone (240) 397-6723

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1912475435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820B WORMANS MILL RD",
            "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": [
        {
            "address_1": "1003 W 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014131",
            "country_code": "US",
            "telephone_number": "301-345-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISER",
        "first_name": "TRAVIS",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC7675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • 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.