TRAVIS PORTER (NPI# 1396887451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396887451 |
| Entity Type | Individual |
| Full Name | TRAVIS PORTER |
| Credential | PSY, LAC |
| Practice Address |
1795 Jet Wing Dr Colorado Springs CO 80916 |
| Mailing Address |
220 Ruskin Dr Colorado Springs CO 80910 |
| Practice Telephone | 7195726100 |
| Practice Fax Number | 7195726089 |
| Mailing Telephone | 7195726100 |
| Mailing Fax Number | 7195726080 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
203 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0003920 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184112518 | Travis L Porter | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2018-05-01 |
| 1821124082 | Travis Nolan Porter | Counselor | 887 Potrero Ave, San Francisco, CA 94110-2869 | 2007-02-24 |
| Street Address |
1795 JET WING DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492955 | Melinda A Mitchell | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2006-01-24 |
| 1083215248 | Andrea Ximena Alban | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-11-04 |
| 1063010387 | Scott Barham | Marriage & Family Therapist | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-10-09 |
| 1487260246 | Melissa Hall | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-09-17 |
| 1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
| 1275178006 | Melissa Wilburn | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-15 |
| 1528603008 | Aspenpointe, Inc. Dba Aspenpointe Health Services | Clinic/Center | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-08 |
| 1861036667 | Dawn Boardman | Social Worker | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-05 |
| 1831730688 | Dailyn Somoza Menendez | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-10-03 |
| 1043865280 | Lacy J Marx | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1083863153 | Concentra Health Services, Inc. | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2008-09-15 |
| 1740304146 | Sheila Odette | Pharmacist | 1425 S Murray Blvd, Colorado Springs, CO 80916 | 2007-03-19 |
| Find all providers in zip 80916 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
| 1508480856 | Ruth S. O'brien, Psyd Pllc | Psychologist | 6245 Silverado Trl, Colorado Springs, CO 80922-2915 | 2020-06-02 |
| 1962032664 | Viewpoints Psychotherapy Services, LLC | Psychologist | 615 N Nevada Ave Ste 4, Colorado Springs, CO 80903-1075 | 2020-01-22 |
| 1558844225 | Tracie A Nicoll | Psychologist | 1843 Austin Bluffs Pkwy Ste 102, Colorado Springs, CO 80918-7857 | 2018-09-10 |
| 1679084966 | Molly Maxfield | Psychologist | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2017-10-13 |
| 1073023974 | Cottonwood Creek Wellness Center | Psychologist | 3210 E. Woodmen Rd., 110, Colorado Springs, CO 80920 | 2017-10-05 |
| 1306360755 | James M Fletcher Phd, Inc | Psychologist | 2527 W Colorado Ave Ste 210, Colorado Springs, CO 80904-6028 | 2017-07-27 |
| 1013438001 | Roy Leon Hill | Psychologist | 1465 Kelly Johnson Blvd Ste 350, Colorado Springs, CO 80920-3983 | 2017-06-29 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1497113336 | Louis Hoffman, Phd | Psychologist | 655 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3859 | 2016-02-07 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on TRAVIS PORTER.
| 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.