TRAVIS SLAGLE (NPI# 1740816313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740816313 |
| Entity Type | Individual |
| Full Name | TRAVIS SLAGLE |
| Credential | LPC, LMHC |
| Practice Address |
15 Kanoa St Hilo HI 96720-2426 |
| Mailing Address |
Hc 1 Box 5230 Keaau HI 96749-9513 |
| Practice Telephone | 8088956717 |
| Mailing Telephone | 5419302857 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC503 | HI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C5150 | OR | Behavioral Health & Social Service Providers |
| Street Address |
15 KANOA ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285745794 | William Ryan Shelton | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2006-08-31 |
| 1881051795 | Bryce Healy | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2016-01-22 |
| 1609132323 | Pacific Quest | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-06 |
| 1376809459 | Kathryn Lynn Kasenchak | Psychologist | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-03 |
| 1023328564 | Mark G White | Counselor | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-10-18 |
| 1659685493 | Pacific Quest Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1124640115 | Rise Hawaii Services LLC | Counselor | 2380 Kalanianaole St # Hi, Hilo, HI 96720-4969 | 2020-05-12 |
| 1679039200 | Stephanie Cabreros | Counselor | 93 Kohola St, Hilo, HI 96720-4376 | 2019-02-19 |
| 1508322165 | Nadezda N Arbles | Counselor | 234 Waianuenue Ave # 216, Hilo, HI 96720-2418 | 2019-02-19 |
| 1811471865 | Crown Vision Creation Group Int'l Inc | Counselor | 187 Halai St, Hilo, HI 96720-2023 | 2018-09-15 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1053799908 | Victoria Ann Vrooman | Counselor | 1603 Alu St, Hilo, HI 96720-3318 | 2015-05-12 |
| 1477961266 | Yoshihiro William Karino | Counselor | 282 Kukuau St, Hilo, HI 96720-2678 | 2014-07-24 |
| 1063838787 | Care Hawaii, Inc. | Counselor | 100 Apoke St, Hilo, HI 96720-1647 | 2014-03-06 |
| 1730527169 | Abbie Kristine Fisher | Counselor | 234 Waianuenue Ave., Suite 215, United States, Commonwealths and Territories, Hilo, HI 96720 | 2013-06-07 |
| Find all providers in HILO | ||||
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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.