MR. TRAVIS JAMES ERICKSEN LPC
NPI 1285878413
Counselor - Professional in Portage, MI

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
6100 NEWPORT RD STE 222, PORTAGE, MI 49002(269) 488-5929(833) 599-7700 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Travis James Ericksen Lpc NPPES

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

MR. TRAVIS JAMES ERICKSEN LPC (NPI 1285878413) is an individual professional provider in Portage, Michigan, licensed in Michigan (6401010965) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1285878413
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TRAVIS JAMES ERICKSENCredential: LPC
Location Address6100 NEWPORT RD STE 222Portage, MI 49002-9235
Mailing Address6100 Newport Rd Ste 222Portage, MI 49002-9235 · (269) 488-5929 · Fax (833) 599-7700
Fax(833) 599-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 1, 2009
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1285878413 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 MI · 6401010965
6100 NEWPORT RD STE 222, Portage, MI 49002

Other Identifiers 1

Medicaid1708146MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Travis James Ericksen Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002259371
PECOS Enrollment IDI20240205000841
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Travis Ericksen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
6100 NEWPORT RD STE 222A
Portage, MI 49002
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
Psychologist
39465 W 14 MILE RD
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 58 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Social Worker
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Counselor (Professional)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Counselor (Professional)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Psychologist (Counseling)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Social Worker (Clinical)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Counselor (Professional)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002
Social Worker (Clinical)
6100 NEWPORT RD STE 222
PORTAGE, MI 49002

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 Ericksen's NPI number?

The NPI number for Travis Ericksen is 1285878413. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Travis Ericksen located?

Travis Ericksen practices at 6100 Newport Rd Ste 222, Portage, MI 49002. The listed phone number is (269) 488-5929.

What is Travis Ericksen's specialty?

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

Is Travis Ericksen enrolled in Medicare?

Yes. Travis Ericksen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Travis Ericksen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Ericksen reassigns Medicare benefits to 3 organizations: Joy Unlimited Counseling Center, Plc (Portage, MI), Bcs Of Michigan LLC (Novi, MI) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Ericksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Ericksen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Travis Ericksen 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 Ericksen was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.