TRAVIS GORDON
NPI 1104488105
Counselor - Professional in Grand Rapids, MI
About Travis Gordon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS GORDON (NPI 1104488105) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6451017462) and active in the NPI registry since July 2019. He has opted out of Medicare through December 19, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Travis Gordon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2024 through December 19, 2026.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Travis Gordon's NPI number?
The NPI number for Travis Gordon is 1104488105. It was assigned to this individual provider in the NPPES registry on July 1, 2019.
Where is Travis Gordon located?
Travis Gordon practices at 4867 E Beltline Ave NE Building #1, Suite 4, Grand Rapids, MI 49525. The listed phone number is (616) 232-6050.
What is Travis Gordon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Travis Gordon enrolled in Medicare?
No. Travis Gordon has opted out of Medicare through December 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Travis Gordon accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Travis Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Travis Gordon was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
