MR. BRAD TRAVIS (NPI# 1114202074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114202074 |
| Entity Type | Individual |
| Full Name | MR. BRAD TRAVIS |
| Credential | MS.CADC |
| Practice Address |
1224 Norley Ave Joliet IL 60435-4074 |
| Mailing Address |
Po Box 153 Joliet IL 60434-0153 |
| Practice Telephone | 8156900213 |
| Practice Fax Number | 8158460436 |
| Mailing Telephone | 8156900213 |
| Mailing Fax Number | 8158460436 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14173 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1224 NORLEY AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751719 | Bipin Sharma | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2013-06-26 |
| 1568773810 | Rhonda L Sykes | Counselor | 1150 Essington Rd Ste 101, Joliet, IL 60435-8447 | 2010-07-01 |
| 1497393839 | Gateway Professional Services, PC | Counselor | 1419 Essington Rd, Joliet, IL 60435-2873 | 2019-12-17 |
| 1477194579 | Diane Paron | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1447891429 | Karon M Buis | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1942841952 | Stanley Jerome Valentine | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1538700505 | Rosa Lopez | Counselor | 2400 Glenwood Ave Ste 126, Joliet, IL 60435-5495 | 2019-10-01 |
| 1174164149 | Keith Harris | Counselor | 2400 Glenwood Ave, Joliet, IL 60435-5474 | 2019-10-01 |
| 1154973204 | Kirsten Leininger | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2019-07-09 |
| 1801303664 | Existential Counselor Society | Counselor | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2018-01-03 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.