Individual provider Active NPI

Travis W Stratford, M.D., L.C.P.C.

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1962453159
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
47167 Issued in MT
Practice address
1703 River Ranch Rd
Missoula, MT 59804-8503
Phone
(406) 317-3115
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 47167 MT Primary
Mental Health Counselor 101YM0800X 47167 MT
Diagnostic Radiology Physician 2085R0202X 26978 OR
Vascular & Interventional Radiology Physician 2085R0204X MD46039 WA

Addresses

Primary practice location

1703 River Ranch Rd
Missoula, MT 59804-8503

Mailing address

1703 River Ranch Rd
Missoula, MT 59804-8503
Phone (406) 317-3115

Other identifiers 1

IdentifierTypeStateIssuer
271184MedicaidOR

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47167MTMDMental Health Counselor
26978ORMDDiagnostic Radiology Physician
MD46039WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Imaging LLC Diagnostic Radiology Past Accepting new patients
Corvallis Radiology PC Diagnostic Radiology Past Accepting new patients
Rocky Mountain Vein Clinic, P.C. Past Accepting new patients
Advanced Imaging at Community Medical Center, LLC Past Accepting new patients
Salem Radiology Consultants PC Diagnostic Radiology Past Accepting new patients
Missoula Radiology PC Diagnostic Radiology PastSince Jun 5, 2012 Accepting new patients

Organizations & group practices 6

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1962453159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 RIVER RANCH RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598048503",
            "telephone_number": "406-317-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 RIVER RANCH RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598048503",
            "telephone_number": "406-317-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATFORD",
        "first_name": "TRAVIS",
        "middle_name": "W",
        "credential": "M.D., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "47167",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "47167",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "26978",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD46039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271184",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.