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Deactivated NPI 1568198042 Deactivated / Inactive NPI Male Practitioner

Travis Lee Willman

Peer Specialist • Williamson, WV

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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 Willman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2022
NPI Deactivation Date December 12, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Travis Willman was a registered Peer Specialist practicing in Williamson, WV. Throughout an active medical career spanning 2 years, Travis Willman provided care at the practice location at 101 LOGAN ST STE 201 until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

101 Logan St Ste 201

Williamson, WV 256613630

Telephone 3042353570
Associated Practice Facility / Clinic
🏢 Board Of Health Mingo County Facility NPI 1033290754

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Williamson, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Williamson, WV (921 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Bernice Johnson , RN

Registered Nurse - Community Health

NPI 1063625796

Registered Nurse

NPI 1356089577
NPI 1477289080
Joseph Preston

Peer Specialist

NPI 1518695113
Misty Miller

Peer Specialist

NPI 1598493108

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated December 12, 2024

Record deactivated on December 12, 2024

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Updated Practice Location December 07, 2023

Registered at 201 PRICHARD ST, WILLIAMSON, WV 256613136 (Tel: 3042353570)

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Updated Business Mailing Address December 07, 2023

Registered at 201 PRICHARD ST, WILLIAMSON, WV 256613136 (Tel: 3042350122)

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Provider Name / Credentials Updated December 07, 2023

Recorded as TRAVIS WILLMAN, (PRSS)

NPI Profile Active July 27, 2022

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2022

Registered at 101 LOGAN ST STE 201, WILLIAMSON, WV 256613630 (Tel: 3042353570)

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Updated Business Mailing Address July 27, 2022

Registered at 101 LOGAN ST STE 201, WILLIAMSON, WV 256613630 (Tel: 3042353570)

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Provider Name / Credentials Updated July 27, 2022

Recorded as TRAVIS WILLMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Peer Specialist

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Initial NPI Registration & Enumeration July 27, 2022

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: 1568198042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2022
Last Update: July 27, 2022
Deactivation Date: December 12, 2024

Mailing Address

101 Logan St Ste 201

Williamson, WV 256613630

Phone: 3042353570

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.