Active NPI
Travis D. Riser, LCPC
- Counselor
- Frederick, MD
National Provider Identifier
1912475435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC7675
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC7675 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Riser, LLC | Counselor | Current | 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.
-
- Counselor
- Frederick, MD
- NPI 1790343523
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.