TRAVIS CLAY REYSEN (NPI# 1811524838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811524838 |
| Entity Type | Individual |
| Full Name | TRAVIS CLAY REYSEN |
| Practice Address |
2966 E Frontera St Apt 89 Anaheim CA 92806-3430 |
| Mailing Address |
2101 E 1st St Santa Ana CA 92705-4007 |
| Practice Telephone | 7146005779 |
| Mailing Telephone | 7145423581 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| Street Address |
2966 E FRONTERA ST APT 89 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041895 | Jose Luis Marron I | Counselor | 617 S Harbor Blvd Unit B, Anaheim, CA 92805-4527 | 2020-04-03 |
| 1356981393 | Options | Counselor | 617 S Harbor Blvd Ste B, Anaheim, CA 92805-4527 | 2020-01-07 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1619477262 | Robert Daniel Colbert | Counselor | 532 N Magnolia Ave # 278, Anaheim, CA 92801-4937 | 2018-02-20 |
| 1336668607 | Lorretta Cruz Hernandez | Counselor | 2071 S Jetty Dr Apt 3, Anaheim, CA 92802-4465 | 2017-09-18 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1700336732 | Jerry Ibarra | Counselor | 9331 Pacific Ave, Anaheim, CA 92804-6374 | 2016-10-13 |
| 1912450925 | Lori Botham | Counselor | 1700 W Cerritos Ave Unit 102, Anaheim, CA 92804-6176 | 2016-07-26 |
| 1336501477 | Jon Heller | Counselor | 1005 S Mountvale Ct, Anaheim, CA 92808-2108 | 2016-03-28 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on TRAVIS CLAY REYSEN.
| 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.