MR. KRISTIAN GLYNN TRAVIS
NPI 1295348233
Counselor - Mental Health in Salem, MA
About Mr. Kristian Glynn Travis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KRISTIAN GLYNN TRAVIS (NPI 1295348233) is an individual mental health provider in Salem, Massachusetts and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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. Kristian Glynn Travis 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristian Travis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, MA 01970
- Reassigned Medicare billing, Massachusetts enrollment
- 40 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristian Travis's NPI number?
The NPI number for Kristian Travis is 1295348233. It was assigned to this individual provider in the NPPES registry on August 28, 2020.
Where is Kristian Travis located?
Kristian Travis practices at 110 Boston St, Salem, MA 01970. The listed phone number is (978) 744-7905.
What is Kristian Travis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kristian Travis enrolled in Medicare?
Yes. Kristian Travis 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 organization bills Medicare for Kristian Travis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Travis reassigns Medicare benefits to Justice Resource Institute, Inc. (Salem, MA). The 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 Kristian Travis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristian Travis was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Kristian Glynn Travis · NPI 1295348233
Mental Health provider in Salem, Massachusetts. Individual provider, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1295348233 (Entity type: Individual)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 BOSTON ST, Salem, MA 01970-1402
- **Phone:** (978) 744-7905
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Justice Resource Institute, Inc. (NPI 1093787095, Salem, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295348233) · Data from the CMS NPPES public registry.