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TRAVIS GOODMAN M.S., LMFT
NPI 1417370255
Marriage & Family Therapist in Newport Beach, CA

Active since January 30, 2014PECOS Enrolled
4060 CAMPUS DR, SUITE #110, NEWPORT BEACH, CA 92660(949) 282-4764 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1417370255
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameTRAVIS GOODMANCredential: M.S., LMFT
Location Address4060 CAMPUS DR, SUITE #110Newport Beach, CA 92660-2217
Mailing Address4060 Campus Dr, Suite #110Newport Beach, CA 92660-2217 · (949) 282-4764
Phone(949) 282-4764
Sole ProprietorYes
Enumeration DateJanuary 30, 2014
Last NPPES UpdateNovember 18, 2016
✔ NPI 1417370255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 96857
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4060 CAMPUS DR, Newport Beach, CA 92660
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Other Identifiers 1

Other96857CA · Bbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Goodman M.s., Lmft 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.

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.

DR. PAUL T DEPOMPO PSY.D.
Psychologist
4060 CAMPUS DR, SUITE 120
NEWPORT BEACH, CA 92660
Orange County (949) 300-1952
DR. JEFFREY KITTS BONE PSY.D.
Psychologist (Clinical)
4060 CAMPUS DR, SUITE 130
NEWPORT BEACH, CA 92660
Orange County (949) 375-4028
THE PAVED ROAD
Marriage & Family Therapist
4060 CAMPUS DR, SUITE 110
NEWPORT BEACH, CA 92660
Orange County (949) 399-1111
TERI M. POKRAJAC, PSY.D. & ASSOCIATES
Psychologist
4060 CAMPUS DR, STE. 120
NEWPORT BEACH, CA 92660
Orange County (949) 475-0145
TERI M POKRAJAC PSY.D.
Psychologist
4060 CAMPUS DR, STE. 120
NEWPORT BEACH, CA 92660
Orange County (949) 475-0145

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.

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.