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MR. TRAVIS DALE SMITH LPC
NPI 1245864958
Counselor - Professional in Phoenix, AZ

Active since March 03, 2020PECOS Enrolled
2255 W NORTHERN AVE, PHOENIX, AZ 85021(602) 995-1767(602) 995-1863 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Travis Dale Smith Lpc NPPES

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

MR. TRAVIS DALE SMITH LPC (NPI 1245864958) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-18444) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245864958
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TRAVIS DALE SMITHCredential: LPC
Location Address2255 W NORTHERN AVEPhoenix, AZ 85021-4936
Mailing Address2255 W Northern AvePhoenix, AZ 85021-4936 · (602) 995-1767 · Fax (602) 995-1863
Phone(602) 995-1767
Fax(602) 995-1863
Sole ProprietorYes
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1245864958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-18444
2255 W NORTHERN AVE, Phoenix, AZ 85021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Travis Dale Smith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVONNE NATALIE GARCIA LPC
Counselor (Professional)
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 242-1238
PAIGE CORNELL
Counselor (Mental Health)
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767
ERIC MILLER
Social Worker
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767
RESILIENT HEALTH, INC.
Community/Behavioral Health
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767
REBECCA A LOPATIN LCSW
Social Worker (Clinical)
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767
MS. BELINDA R ROUZAUD LCSW
Social Worker (Clinical)
2255 W NORTHERN AVE, B-103
PHOENIX, AZ 85021
Maricopa County (602) 931-5410
DR. ROSEANN O'CONNELL DNP
Nurse Practitioner (Psychiatric/Mental Health)
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767
RANDY BRAZIE M.D.
Psychiatry & Neurology (Psychiatry)
2255 W NORTHERN AVE
PHOENIX, AZ 85021
Maricopa County (602) 995-1767

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 Smith's NPI number?

The NPI number for Travis Smith is 1245864958. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Travis Smith located?

Travis Smith practices at 2255 W Northern Ave, Phoenix, AZ 85021. The listed phone number is (602) 995-1767.

What is Travis Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Travis Smith enrolled in Medicare?

Yes. Travis Smith is registered in the Medicare PECOS enrollment system.

What insurance does Travis Smith accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Travis Smith 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 Smith was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.