TRAVIS SCOTT MICHAELS (NPI# 1356954481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356954481 |
| Entity Type | Individual |
| Full Name | TRAVIS SCOTT MICHAELS |
| Credential | MS |
| Practice Address |
5861 Cedar Lake Rd S St Louis Park MN 55416-1653 |
| Practice Telephone | 6122028703 |
| Practice Fax Number | 6122411943 |
| Mailing Telephone | 6122028703 |
| Mailing Fax Number | 6122411943 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5861 CEDAR LAKE RD S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590914 | Melissa Norland | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-26 |
| 1558992123 | Selah Joy Smith | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-01-31 |
| 1588044317 | Andrea Nicole Horvath | Occupational Therapist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2015-06-07 |
| 1225430317 | Samuel Moracha Birundu | Nurse Practitioner | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2014-09-19 |
| 1851793020 | On Call Clinicians | Case Management | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2014-09-19 |
| 1033451372 | Robbie Fast | Speech-Language Pathologist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2013-03-25 |
| 1821338484 | On Call Medical Inc | Optometrist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2013-02-19 |
| 1467640029 | Doorstep Dental Services | Dentist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2007-10-09 |
| 1033307046 | Doorstep Healthcare Services | Dentist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2007-10-04 |
| 1982827713 | Ashley Ann Bowles | Physical Therapist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765874 | Behavioral Health Alliance | Counselor | 5871 Cedar Lake Rd S Ste 202, St Louis Park, MN 55416-1479 | 2020-06-21 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1992277313 | Gail M. Yost and Associates, LLC | Counselor | 5000 W 36th St Ste 207, St Louis Park, MN 55416-2758 | 2018-12-24 |
| 1497204044 | Brenda Brooks | Counselor | 8800 Highway 7 Ste 200, St Louis Park, MN 55426-3955 | 2016-09-23 |
| 1235337999 | Susan Marie Gallucci | Counselor | 5891 Cedar Lake Rd S # 103, St Louis Park, MN 55416-1460 | 2007-07-04 |
| 1427107085 | Alicia Maria Barrs | Counselor | 4023 Sunset Blvd, St Louis Park, MN 55416-4132 | 2007-01-10 |
| 1659458628 | Paul Allen Buckley | Counselor | 7515 Wayzata Blvd Ste 209, St Louis Park, MN 55426-1635 | 2006-11-01 |
| 1710590914 | Melissa Norland | Counselor | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1653 | 2020-08-26 |
| 1003438268 | Abubakar Binji | Counselor | 4236 Park Glen Rd, St Louis Park, MN 55416-4758 | 2020-05-11 |
| 1043872021 | Tamara Lopusina | Counselor | 5000 W 36th St Ste 207, St Louis Park, MN 55416-2758 | 2019-07-01 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.