MR. TRAVIS A MITCHELL SR. (NPI# 1750655890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750655890 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS A MITCHELL SR. |
| Credential | PHYSICOLOGIST |
| Practice Address |
8759 Annetta Ave Saint Louis MO 63147-1602 |
| Practice Telephone | 3143814225 |
| Practice Fax Number | 3143814225 |
| Mailing Telephone | 3143814225 |
| Mailing Fax Number | 3143814225 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| 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) |
103 | MO | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4718 | MO | Behavioral Health & Social Service Providers |
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
5653 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134356256 | Travis A Mitchell | Registered Nurse | 18001 Royal Tree Pkwy, Naples, FL 34114-8941 | 2009-06-16 |
| 1568083566 | Travis Mitchell | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160-8500 | 2020-04-30 |
| 1548804032 | Travis Mitchell | Counselor | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-10-29 |
| 1801230008 | Travis Mitchell | Counselor | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2013-04-18 |
| 1548538374 | Travis Walter Mitchell | Pharmacist | 8901 Rockville Pike, Bethesda, MD 20889-2018 | 2011-12-07 |
| Street Address |
8759 ANNETTA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63147-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922256833 | Concentra Health Services, Inc. | Clinic/Center | 8340 N. Broadway, St. Louis, MO 63147 | 2008-09-04 |
| 1164945226 | Cozy Caregivers LLC | Home Health | 5952 Astra Ave, Saint Louis, MO 63147-1014 | 2017-07-20 |
| 1952866543 | Tasha) Walker | Psychologist | 5828 Pamplin Ave, Saint Louis, MO 63147-1018 | 2019-02-07 |
| 1053781443 | Vanessa Williams | Custodial Care Facility | 5757 Park Ln, Saint Louis, MO 63147-1019 | 2015-09-29 |
| 1760664627 | Eagle Home Health Care Inc | Home Health Aide | 5801 Park Ln, Saint Louis, MO 63147-1021 | 2007-12-03 |
| 1104014281 | Carrie's Caring In-home Health Care Inc. | Home Health | 5813 Park Ln, Saint Louis, MO 63147-1021 | 2007-10-14 |
| 1992074041 | Qualicare Home Health Services | Home Health | 5821 Riverview Blvd, Saint Louis, MO 63147-1023 | 2011-12-19 |
| 1790332849 | Infiniti Care Home Health LLC | Home Health | 5925 Floy Ave, Saint Louis, MO 63147-1105 | 2019-08-23 |
| 1134699473 | Crt Home Care Services, LLC | Home Health | 5939 Goodfellow Blvd, Saint Louis, MO 63147-1107 | 2018-11-29 |
| 1588847198 | Yolanda Shanell Turner | Nurse's Aide | 5921 Drury Ln, Saint Louis, MO 63147-1111 | 2007-12-06 |
| Find all providers in zip 63147 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557081 | The Community Counseling & Housing Services | Psychologist | 4764 Beacon Ave, Saint Louis, MO 63120-2208 | 2018-02-08 |
| 1932339041 | Tom L Ham | Psychologist | 515 Purdue Ave, Saint Louis, MO 63130-4134 | 2009-07-23 |
| 1073706008 | Gwin Michelle Stewart | Psychologist | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2007-08-22 |
| 1164077624 | Lindsey Poe | Psychologist | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2019-08-01 |
| 1326361502 | Robin L Dalske | Psychologist | 4330 Lindell Blvd, Saint Louis, MO 63108-2702 | 2010-03-02 |
| 1376713933 | Center for Hope LLC | Psychologist | 425 Marshall Ave, Saint Louis, MO 63119-1833 | 2008-03-10 |
| 1831296649 | Kenneth H Bohm | Psychologist | 8515 Delmar Blvd, Suite 220, Saint Louis, MO 63124-2168 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733553 | Zachary Downs | Psychologist | 2200 E Sunshine St Ste 203, Springfield, MO 65804-1886 | 2020-09-02 |
| 1184915472 | Creative Renewal & Resolutions, LLC | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2011-04-21 |
| 1386640159 | David L. Black | Psychologist | 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 | 2005-06-24 |
| City | SAINT LOUIS |
| Zip Code | 63147 |
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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.