DR. RICHARD L TRAVIS EDD LMHC CAPP NPI 1700996907

NPI Information

NPI: 1700996907
Provider Name: DR. RICHARD L TRAVIS, EDD LMHC CAPP
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 1919 NE 45TH STREET
#122
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 776-7176

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NPI Details

DR. Richard L Travis, EDD LMHC CAPP is an addiction (substance use disorder) counselor in Fort Lauderdale, FL. DR. Richard L Travis, EDD LMHC CAPP NPI is 1700996907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1919 NE 45TH STREET
#122
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 776-7176
Fax: (954) 776-7160

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	042	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	MH2294	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z4960	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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