Active NPI
Travis Annette Bittle, MA LPC
- Mental Health Counselor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4234
- Practice address
- 3545 Whitehall Park Ste.
Ste. 300
Charlotte, NC 28273 - Phone
- (980) 302-8850
- Fax
- (704) 316-8118
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4234 | NC | |
| Mental Health Counselor | 101YM0800X | 4234 | NC | Primary |
Addresses
Primary practice location
3545 Whitehall Park Ste.
Ste. 300
Charlotte, NC 28273
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-3550
Other practice location 1
8430 University Exec Park Dr
Suite 608
Charlotte, NC 28262-1350
Phone (704) 593-1106
Other practice location 2
175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Phone (336) 718-3550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbittle128953@direct.novanthealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214002790 | NC | Practitioner - Mental Health Counselor | 5193169498 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4234 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients |
Locations
3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 22
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1992905749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-718-3550",
"fax_number": "336-277-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 WHITEHALL PARK STE.",
"address_2": "STE. 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28273",
"telephone_number": "980-302-8850",
"fax_number": "704-316-8118"
}
],
"practiceLocations": [
{
"address_1": "8430 University Exec Park Dr",
"address_2": "Suite 608",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282621350",
"country_code": "US",
"telephone_number": "704-593-1106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Kimel Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036951",
"country_code": "US",
"telephone_number": "336-718-3550",
"fax_number": "336-277-1825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BITTLE",
"first_name": "TRAVIS",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2021-11-24",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4234",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbittle128953@direct.novanthealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "175 Kimel Park Dr Ste 100",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271036951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.