MR. TRAVIS PEARSON (NPI# 1780822361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780822361 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS PEARSON |
| Credential | MABC, LPC |
| Practice Address |
535 Bandera Rd San Antonio TX 78228-5524 |
| Mailing Address |
Po Box 28210 San Antonio TX 78228-0210 |
| Practice Telephone | 2104316466 |
| Mailing Telephone | 2104142643 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
12768 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
12768 | TX | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 12768 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365276 | Travis Leon Pearson | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-21 |
| Street Address |
535 BANDERA RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275831422 | Paulette G Hill | Counselor | 535 Bandera Rd, San Antonio, TX 78228-5524 | 2011-03-10 |
| 1578878278 | Jillian Lee Denman | Counselor | 535 Bandera Rd, San Antonio, TX 78228-5524 | 2010-08-18 |
| 1265750020 | Rebekah Ruth Pender | Counselor | 535 Bandera Rd, San Antonio, TX 78228-5524 | 2010-05-04 |
| 1154655736 | Shelley Marisa Rodriguez | Counselor | 535 Bandera Rd, San Antonio, TX 78228-5524 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011047 | Concentric Counseling and Coaching, Pllc | Counselor | 7113 San Pedro Ave # 493, San Antonio, TX 78216-6219 | 2020-10-21 |
| 1609473685 | Juliana Guadamuz | Counselor | 5919 Cliff Valley Dr, San Antonio, TX 78250-3921 | 2020-10-03 |
| 1639786635 | Lara Durand Stern | Counselor | 1153 Mesa Blanca, San Antonio, TX 78248-2613 | 2020-09-24 |
| 1326651290 | Olga M Luquis | Counselor | 10471 Tippecanoe, San Antonio, TX 78245-3131 | 2020-08-28 |
| 1447869094 | Sofia Andrea De La Garza | Counselor | 5811 Ben Casey Dr, San Antonio, TX 78240-3418 | 2020-07-29 |
| 1285242131 | Robert Edward Williamson | Counselor | 9939 Fredericksburg Rd Apt 815, San Antonio, TX 78240-4153 | 2020-07-16 |
| 1972121085 | Charles Jones | Counselor | 6018 Upland Vw, San Antonio, TX 78244-1752 | 2020-07-07 |
| 1013535152 | Glynis Fresia | Counselor | 23007 Casey Cyn, San Antonio, TX 78255-1051 | 2020-07-06 |
| 1235753161 | Tiffany Bridgers | Counselor | 6320 Village Arbor, San Antonio, TX 78250-5752 | 2020-06-06 |
| 1972127983 | Diana Sue Rangel-duncan | Counselor | 3234 Morning Crk, San Antonio, TX 78247-3326 | 2020-06-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on MR. TRAVIS PEARSON.
| 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.