TRAVIS GOODMAN M.S., LMFT
NPI 1417370255
Marriage & Family Therapist in Newport Beach, CA
About Travis Goodman M.s., Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS GOODMAN M.S., LMFT (NPI 1417370255) is an individual marriage & family therapist in Newport Beach, California, licensed in California (96857) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Travis Goodman M.s., Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Travis Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWPORT BEACH, CA 92660
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 Goodman's NPI number?
The NPI number for Travis Goodman is 1417370255. It was assigned to this individual provider in the NPPES registry on January 30, 2014.
Where is Travis Goodman located?
Travis Goodman practices at 4060 Campus Dr Suite #110, Newport Beach, CA 92660. The listed phone number is (949) 282-4764.
What is Travis Goodman's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Travis Goodman enrolled in Medicare?
Yes. Travis Goodman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Travis Goodman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Travis Goodman reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). 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 Goodman'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 Travis Goodman was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Travis Goodman, M.S., LMFT · NPI 1417370255
Marriage & Family Therapist provider in Newport Beach, California. Individual provider, active in the CMS NPPES registry since January 30, 2014.
## Identity
- **NPI:** 1417370255 (Entity type: Individual)
- **Enumerated:** January 30, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 96857 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4060 CAMPUS DR, SUITE #110, Newport Beach, CA 92660-2217
- **Phone:** (949) 282-4764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2016
- **Other identifiers:** Other 96857 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417370255) · Data from the CMS NPPES public registry.