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TRAVIS PORTER PSY, LAC
NPI 1396887451
Psychologist - Clinical in Colorado Springs, CO

Active since February 13, 2007PECOS Enrolled
1795 JET WING DR, COLORADO SPRINGS, CO 80916(719) 572-6100(719) 572-6089 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Travis Porter Psy, Lac NPPES

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

TRAVIS PORTER PSY, LAC (NPI 1396887451) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (PSY.0003920) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396887451
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTRAVIS PORTERCredential: PSY, LAC
Location Address1795 JET WING DRColorado Springs, CO 80916
Mailing Address220 Ruskin DrColorado Springs, CO 80910 · (719) 572-6100 · Fax (719) 572-6080
Phone(719) 572-6100
Fax(719) 572-6089
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 8, 2018
✔ NPI 1396887451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0003920
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 203 (CO)
1795 JET WING DR, Colorado Springs, CO 80916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Porter Psy, Lac 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.

Medicare Billing Reassignment

Medicare enrollment records show Travis Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diversus Health Inc
Same address
Rehabilitation, Substance Use Disorder
1795 JET WING DR
Colorado Springs, CO 80916
  • Reassigned Medicare billing, Colorado enrollment
  • 72 clinicians in this Medicare group
NPI 1528603008 (719) 572-6100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUSTIN M BILLOT LPC
Counselor (Professional)
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
BETHANY DISNEY
Counselor (Professional)
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
KIARA BRIE NINOS LPC
Counselor (Professional)
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
SHERRY GRAHAM L.P.C.
Counselor (Professional)
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
DARA D WILBERT
Behavior Technician
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
LACY J MARX MA LPC
Counselor (Professional)
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
MICHAEL ISAIAH TRAVIS
Case Manager/Care Coordinator
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6100
SCOTT BARHAM LMFT
Marriage & Family Therapist
1795 JET WING DR
COLORADO SPRINGS, CO 80916
El Paso County (719) 572-6338

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 Porter's NPI number?

The NPI number for Travis Porter is 1396887451. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Travis Porter located?

Travis Porter practices at 1795 Jet Wing Dr, Colorado Springs, CO 80916. The listed phone number is (719) 572-6100.

What is Travis Porter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Travis Porter enrolled in Medicare?

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

Which organization bills Medicare for Travis Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Porter reassigns Medicare benefits to Diversus Health Inc (Colorado Springs, CO). 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 Travis Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Porter accept?

Health plans from Select Health list Travis Porter 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 Porter was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.