Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689979445 Deactivated / Inactive NPI Male Practitioner

Travis Lamar Green , MSW

Counselor • Tallahassee, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Travis Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2011
NPI Deactivation Date May 02, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Travis Green, MSW was a registered Counselor practicing in Tallahassee, FL. Throughout an active medical career spanning 12 years, Travis Green provided care at the practice location at 3718 SUTOR CT until profile deactivation on 2023-05-02.

Practice Location & Contact Primary Location

Practice Address

3718 Sutor Ct

Tallahassee, FL 323114050

Telephone 8502126194

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tallahassee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 58.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Tallahassee, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 02, 2023

Record deactivated on May 02, 2023

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2011

Registered at 3718 SUTOR CT, TALLAHASSEE, FL 323114050 (Tel: 8502126194)

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Updated Business Mailing Address January 25, 2011

Registered at 3718 SUTOR CT, TALLAHASSEE, FL 323114050 (Tel: 8502126194)

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Provider Name / Credentials Updated January 25, 2011

Recorded as TRAVIS GREEN, MSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Counselor

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Initial NPI Registration & Enumeration January 25, 2011

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: 1689979445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2011
Last Update: January 25, 2011
Deactivation Date: May 02, 2023

Mailing Address

3718 Sutor Ct

Tallahassee, FL 323114050

Phone: 8502126194

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

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