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TRAVIS HENDERSON RAS111101051535
NPI 1932527504
Counselor - Addiction (Substance Use Disorder) in Marysville, CA

Active since April 01, 2014
1496 N BEALE RD, MARYSVILLE, CA 95901(530) 749-8640(530) 749-8646 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Travis Henderson Ras111101051535 NPPES

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

TRAVIS HENDERSON RAS111101051535 (NPI 1932527504) is an individual addiction (substance use disorder) provider in Marysville, California, licensed in California (111101051535) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1932527504
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTRAVIS HENDERSONCredential: RAS111101051535
Location Address1496 N BEALE RDMarysville, CA 95901-6205
Mailing Address1496 N Beale RdMarysville, CA 95901-6205 · (530) 749-8640 · Fax (530) 749-8646
Phone(530) 749-8640
Fax(530) 749-8646
Sole ProprietorNo
Enumeration DateApril 1, 2014
✔ NPI 1932527504 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 · 111101051535
1496 N BEALE RD, Marysville, CA 95901
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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.

LEZAH KELLEY
Counselor (Addiction (Substance Use Disorder))
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (504) 782-6221
JOHN DEWAYNE SINGH II LVN
Licensed Vocational Nurse
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
DORTHY SMITH
Licensed Vocational Nurse
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
JULIE SANDUM
Counselor (Addiction (Substance Use Disorder))
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
KIMBERLY MCCLELLAND
Registered Nurse
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
ELISSIA SOITO
Counselor (Addiction (Substance Use Disorder))
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
DEBRA LYNNE CRAWFORD
Licensed Vocational Nurse
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640
LUZ OBEZO LVN
Licensed Vocational Nurse
1496 N BEALE RD
MARYSVILLE, CA 95901
Yuba County (530) 749-8640

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 Henderson's NPI number?

The NPI number for Travis Henderson is 1932527504. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Travis Henderson located?

Travis Henderson practices at 1496 N Beale Rd, Marysville, CA 95901. The listed phone number is (530) 749-8640.

What is Travis Henderson'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 Henderson was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.