MR. TRAVIS WILKERSON (NPI# 1689794828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689794828 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS WILKERSON |
| Credential | LPC |
| Practice Address |
70 Batesville Blvd Ste C Batesville AR 72501-8972 |
| Mailing Address |
2809 Forest Home Rd Jonesboro AR 72401-5320 |
| Practice Telephone | 8707933199 |
| Mailing Telephone | 8669721268 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A0201006 | AR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0606035 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 228377719 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957833 | Travis Wilkerson | Case Manager/Care Coordinator | 615 Baronne St Ste 304, New Orleans, LA 70113-1054 | 2017-05-01 |
| Street Address |
70 BATESVILLE BLVD STE C |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-8972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104960319 | Amanda Brownderville | Counselor | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2007-02-19 |
| 1154928356 | Karla Marshall | Social Worker | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2020-10-01 |
| 1437769304 | Cassondra Frey | Social Worker | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2020-08-05 |
| 1821653700 | Jessica Armenteros | Counselor | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2019-05-06 |
| 1144747890 | David Kittrell Camp | Case Manager/Care Coordinator | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2017-08-24 |
| 1396160941 | Angie Gould | Case Manager/Care Coordinator | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2014-02-19 |
| 1982947040 | Magen Slaughter | Social Worker | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2013-03-27 |
| 1477832905 | Dianne May Thomas | Case Manager/Care Coordinator | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2011-08-15 |
| 1538497383 | Amanda Sue Edwards | Social Worker | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2009-12-04 |
| 1255583654 | Life Strategies Counseling, Inc. | Clinic/Center | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477793982 | Devoe Burford | Counselor | 510 Highway 51 S, Suite 9, Batesville, MS 38606-2571 | 2009-02-23 |
| 1932159209 | Dwight Lee Decker | Counselor | 400 Harrison St, Suite 107, Batesville, AR 72501 | 2006-05-10 |
| 1871573790 | Angella B. Hendricks | Counselor | 2230 Harrison St, Batesville, AR 72501-7417 | 2006-01-18 |
| 1467602136 | Shawn L Collins I | Counselor | 1800 Myers St, Batesville, AR 72501-7344 | 2008-09-30 |
| 1316132236 | Kathrine Getske | Counselor | 590 Highway 6 E, Batesville, MS 38606-3002 | 2007-09-13 |
| 1467669697 | Christopher Bruce Insell | Counselor | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2007-05-17 |
| 1114046158 | Janeice Lynn Johnson | Counselor | 70 Batesville Blvd Ste C, Batesville, AR 72501 | 2007-03-29 |
| 1801975024 | Glenda S Rodgers-lawless | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1114557824 | Elysian Counseling Services Pllc | Counselor | 1024 W Court St Ste C, Paragould, AR 72450-4130 | 2020-01-22 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on MR. TRAVIS WILKERSON.
| 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.