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TRAVON DI ANGELO TILLIS
NPI 1740407576
Counselor - Mental Health in South Pasadena, CA

Active since April 20, 2007
625 FAIR OAKS AVE, 300, SOUTH PASADENA, CA 91030(626) 395-7100 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Travon Di Angelo Tillis NPPES

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

TRAVON DI ANGELO TILLIS (NPI 1740407576) is an individual mental health provider in South Pasadena, California, licensed in California (ASW104373) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740407576
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRAVON DI ANGELO TILLIS
Location Address625 FAIR OAKS AVE, 300South Pasadena, CA 91030-2630
Mailing Address333 S Beaudry AveLos Angeles, CA 90017-1466 · (213) 241-3841 · Fax (213) 241-3305
Phone(626) 395-7100
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1740407576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW104373
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
625 FAIR OAKS AVE, South Pasadena, CA 91030
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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.

MS. ERIKA HIRSCH
Marriage & Family Therapist
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 831-4441
YESENIA RAMIREZ
Rehabilitation Practitioner
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Los Angeles County (626) 395-7100
MICHELE HATCHER
Day Training/Habilitation Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-4221
DR. ALAN MICHAEL KARBELNIG PH.D.
Psychologist (Group Psychotherapy)
625 FAIR OAKS AVE, SUITE 270
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-7778
MS. CHANTEZ MITCHELL PRATTS
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
S PASADENA, CA 91030
Los Angeles County (626) 395-7100
MRS. LISA MICHELLE GIARRATANA MSW
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Los Angeles County (626) 395-7100
OLIVIA LEE
Peer Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Los Angeles County (626) 807-5247
KATIE ELAINE JOSEPH
Behavior Technician
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Los Angeles County (619) 275-4525

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 Travon Tillis's NPI number?

The NPI number for Travon Tillis is 1740407576. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Travon Tillis located?

Travon Tillis practices at 625 Fair Oaks Ave 300, South Pasadena, CA 91030. The listed phone number is (626) 395-7100.

What is Travon Tillis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Travon Tillis was last updated on September 11, 2023. 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.