MR. TRAVIS EUGENE FRYE (NPI# 1366410029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366410029 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS EUGENE FRYE |
| Credential | LPC |
| Practice Address |
4614 E Shea Blvd Suite D-250 Phoenix AZ 85028-3070 |
| Mailing Address |
39737 N High Noon Way Anthem AZ 85086-2376 |
| Practice Telephone | 6029539070 |
| Mailing Telephone | 6023167134 |
| Enumeration Date | 2006-03-09 |
| 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 |
LPC-12149 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4614 E SHEA BLVD SUITE D-250 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585810 | Philip Gleason | Urology | 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 | 2005-08-16 |
| 1043437965 | Judd Edward Cummings | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D 160, Phoenix, AZ 85028-3070 | 2007-04-20 |
| 1508998147 | Arizona Pediatric Urology, P.C. | Urology | 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 | 2007-03-09 |
| 1821143876 | Paul Joseph Carollo | Counselor | 4614 E Shea Blvd, Suite D250, Phoenix, AZ 85028-3070 | 2007-01-23 |
| 1427105048 | Sean Joseph Brimacombe | Orthopaedic Surgery | 4614 E Shea Blvd, D-160, Phoenix, AZ 85028-3070 | 2007-01-04 |
| 1548340839 | Frank W Moussa | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D-160, Phoenix, AZ 85028-3070 | 2006-10-17 |
| 1154381671 | Crossroads Family Counseling Center, LLC | Counselor | 4614 E Shea Blvd, Phoenix, AZ 85028-3081 | 2006-03-27 |
| 1376523399 | Matthew J Seidel | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D-160, Phoenix, AZ 85028-3070 | 2006-01-17 |
| 1235119355 | Bruce A Mallin | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D160, Phoenix, AZ 85028-3070 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MR. TRAVIS EUGENE FRYE.
| 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.