Individual provider Active NPI

Traver Tyrone Stewart, LPC, LCAS

  • Professional Counselor
  • Trenton, NC
National Provider Identifier
1992139638
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10122 Issued in NC
Practice address
3020 NC Highway 58 N
Trenton, NC 28585-9574
Phone
(252) 521-1434
NPI assigned
Aug 29, 2013
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10122 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22163 NC

Addresses

Primary practice location

3020 NC Highway 58 N
Trenton, NC 28585-9574

Mailing address

123 Cavalier Dr
Jacksonville, NC 28546-4650
Phone (252) 521-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240119000285 NC Practitioner - Mental Health Counselor 3375995970 Reassigns benefits to 2 organizations
I20251003003106 NC Practitioner - Mental Health Counselor 3375995970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720

3130 NC 58
Trenton, NC 28585

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22163NCMDAddiction (Substance Use Disorder) Counselor
10122NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Health Services CurrentSince Jan 1, 2024 Accepting new patients
Port Health Services Addiction (Substance Use Disorder) Current Accepting new patients
Elizabeth B Saylors, Lpa PLLC CurrentSince Jan 1, 2024 Accepting new patients
Port Health Services CurrentSince Jan 1, 2024 Accepting new patients
Rhodium Care Group PLLC CurrentSince Jul 27, 2025 Accepting new patients
Ames Counseling & Consultation Addiction (Substance Use Disorder) CurrentSince Sep 2, 2025 Accepting new patients

Locations

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

1300 Don Juan Rd
Hertford, NC 27944
Phone (252) 426-4066

224 Memorial Dr
#A
Jacksonville, NC 28546
Phone (910) 353-5354

231 Memorial Dr
Ste Ab
Jacksonville, NC 28546
Phone (910) 353-5354

306 N Queen St
Kinston, NC 28501
Phone (252) 208-0027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1992139638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CAVALIER DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464650",
            "telephone_number": "252-521-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NC HIGHWAY 58 N",
            "city": "TRENTON",
            "state": "NC",
            "postal_code": "285859574",
            "telephone_number": "252-521-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TRAVER",
        "middle_name": "TYRONE",
        "credential": "LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10122",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NC

Sources for this page

Verify at the official NPI Registry.