Individual provider Active NPI

Travis Tremain Grable, LPC

  • Professional Counselor
  • Augusta, GA
National Provider Identifier
1972309169
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011129 Issued in GA
Practice address
2715 Devereux Dr
Augusta, GA 30909-9691
Phone
(478) 251-7006
NPI assigned
Feb 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011129 GA Primary

Addresses

Primary practice location

2715 Devereux Dr
Augusta, GA 30909-9691

Mailing address

2715 Devereux Dr
Augusta, GA 30909-9691
Phone (478) 251-7006

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
LPC011129GAMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: travis.grable@489656322949124.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1972309169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 DEVEREUX DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099691",
            "telephone_number": "478-251-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 DEVEREUX DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099691",
            "telephone_number": "478-251-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABLE",
        "first_name": "TRAVIS",
        "middle_name": "TREMAIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.