TRAVIS SHAWN WHITEHEAD CADC I
NPI 1336791052
Counselor - Addiction (Substance Use Disorder) in Ceres, CA

Active since July 12, 2019
1904 RICHLAND AVE, CERES, CA 95307(209) 525-7411(209) 541-2114 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Aug 29, 2023, Jul 12, 2019 (3 updates tracked since 2019).

About Travis Shawn Whitehead Cadc I NPPES

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

TRAVIS SHAWN WHITEHEAD CADC I (NPI 1336791052) is an individual addiction (substance use disorder) provider in Ceres, California, licensed in California (CI42380424) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1336791052
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTRAVIS SHAWN WHITEHEADCredential: CADC I
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address1515 Horizon LnPatterson, CA 95363-8300 · (757) 508-7878
Fax(209) 541-2114
Sole ProprietorNo
Enumeration DateJuly 12, 2019
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1336791052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · CI42380424
1904 RICHLAND AVE, Ceres, CA 95307

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.

Technician
1904 RICHLAND AVE
CERES, CA 95307
Marriage & Family Therapist
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Professional)
1904 RICHLAND AVE
CERES, CA 95307
Psychiatric Hospital
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Mental Health)
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Social Worker (Clinical)
1904 RICHLAND AVE
CERES, CA 95307
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307

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 Whitehead's NPI number?

The NPI number for Travis Whitehead is 1336791052. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Travis Whitehead located?

Travis Whitehead practices at 1904 Richland Ave, Ceres, CA 95307. The listed phone number is (209) 525-7411.

What is Travis Whitehead's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Travis Whitehead was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.