Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245864958 Individual Practitioner Male Practitioner

Travis Dale Smith , LPC

Counselor - Professional • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Travis Smith, LPC is a registered healthcare professional specializing in Counselor - Professional in Phoenix, AZ. Practice services are available at 2255 W NORTHERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2255 W Northern Ave

Phoenix, AZ 850214936

Telephone 6029951767
Fax 6029951863
Associated Practice Facility / Clinic
🏢 Resilient Health, Inc. Facility NPI 1881680452

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
763 Specialists

Practicing in Phoenix, AZ (3051 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-18444

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Paige Cornell

Counselor - Mental Health

NPI 1194650044
Eric Miller

Social Worker

NPI 1235952409
Rebecca Lopatin , LCSW

Social Worker - Clinical

NPI 1548084734

Licensed Clinical Social Worker

Dr. Roseann O'connell , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1588235204

Doctor of Nursing Practice

Dr. Randy Brazie , MD

Psychiatry & Neurology - Psychiatry

NPI 1740493428

Doctor of Medicine (M.D.)

Dr. Blythe Fitzharris , PhD, LCSW

Social Worker - Clinical

NPI 1912342924

Doctor of Philosophy (Ph.D.), Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2020

Registered at 2255 W NORTHERN AVE, PHOENIX, AZ 850214936 (Tel: 6029951767)

📍
Updated Business Mailing Address March 03, 2020

Registered at 2255 W NORTHERN AVE, PHOENIX, AZ 850214936 (Tel: 6029951767)

👤
Provider Name / Credentials Updated March 03, 2020

Recorded as TRAVIS SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Counselor (License #LPC-18444 in AZ)

🟢
Initial NPI Registration & Enumeration March 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245864958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2020
Last Update: March 03, 2020
Sole Proprietor: Yes

Mailing Address

2255 W Northern Ave

Phoenix, AZ 850214936

Phone: 6029951767

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.