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GENESIS TRAVIS
NPI 1104792555
Counselor - Mental Health in Chandler, AZ

Active since October 14, 2025
4800 S ALMA SCHOOL RD APT 3118, CHANDLER, AZ 85248(575) 621-0911 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Travis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS TRAVIS (NPI 1104792555) is an individual mental health provider in Chandler, Arizona, licensed in New Mexico (CMH0206061) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1104792555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGENESIS TRAVIS
Location Address4800 S ALMA SCHOOL RD APT 3118Chandler, AZ 85248-5571
Mailing Address4800 S Alma School Rd Apt 3118Chandler, AZ 85248-5571
Phone(575) 621-0911
Sole ProprietorYes
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1104792555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CMH0206061
4800 S ALMA SCHOOL RD APT 3118, Chandler, AZ 85248
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Other Names 1

Former Name (1)Genesis Pakozdi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Genesis Travis's NPI number?

The NPI number for Genesis Travis is 1104792555. It was assigned to this individual provider in the NPPES registry on October 14, 2025. The provider is also known as Genesis Pakozdi.

Where is Genesis Travis located?

Genesis Travis practices at 4800 S Alma School Rd Apt 3118, Chandler, AZ 85248. The listed phone number is (575) 621-0911.

What is Genesis Travis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Genesis Travis was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.