Active NPI
Michael Travis, MA, LPCC, NCC.
- Professional Counselor
- Centennial, CO
National Provider Identifier
1992341366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0016839
- Practice address
- 7200 E Dry Creek Rd Ste E207
Centennial, CO 80112-2569 - Phone
- (303) 660-5397
- NPI assigned
- Nov 20, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0016839 | CO | Primary |
Addresses
Primary practice location
7200 E Dry Creek Rd Ste E207
Centennial, CO 80112-2569
Mailing address
12515 Washington LN Apt F1
Englewood, CO 80112-5979
Phone (720) 245-9946
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016839 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Adolescent Behavioral Supports | Professional | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Centennial, CO
- NPI 1023446572
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1992341366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 WASHINGTON LN APT F1",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125979",
"telephone_number": "720-245-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 E DRY CREEK RD STE E207",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122569",
"telephone_number": "303-660-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "MICHAEL",
"credential": "MA, LPCC, NCC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0016839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.