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Travis Kapp , LLPC

Counselor - Professional β€’ Jackson, MI

Active NPI 1275290876 Individual Practitioner Male Practitioner
Practice location in NPPES

205 N East Ave
Jackson, MI 492011753

Call 5172054800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5172054800
Organization at the Same NPPES Address or Phone
Jackson Radiology Consultants, P C Facility NPI 1295736015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in East Lansing, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Travis Kapp has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Travis Kapp as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

104 active clinicians are listed under Counselor - Professional with a practice address in Jackson, MI (4,962 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

1.9% of these 104 clinicians have the CMS telehealth indicator.

14.4% of these 104 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6401223881
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250113000206

Enrollment State Jurisdiction

MI

PECOS Control ID

3476081977

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

5030 Northwind Dr

East Lansing, MI 488235034

Phone: 5173331499

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amirreza Abdolmaleki , MD

Student in an Organized Health Care Education/Training Program

NPI 1194342196

Doctor of Medicine (M.D.)

Dr. Hiba Abu Suhaiban , MD

Psychiatry & Neurology - Psychiatry

NPI 1972090801

Doctor of Medicine (M.D.)

Dr. Thomas Adams , DO STUDENT

Student in an Organized Health Care Education/Training Program

NPI 1760124903

DOSTUDENT

Dr. Nofil Akhtar , MD

Student in an Organized Health Care Education/Training Program

NPI 1033735683

Doctor of Medicine (M.D.)

Zaineb Albachachy , NP-BC

Nurse Practitioner - Acute Care

NPI 1578124632

NPBC

Samer Al Daheen

Military Health Care Provider

NPI 1871171322

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 09, 2025

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5172054800)

πŸ“
Updated Business Mailing Address January 09, 2025

Registered at 1 FORD PL STE 3A, DETROIT, MI 482023450 (Tel: 3138744806)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Counselor (license number reported to NPPES: MI 6401223881)

βœ…
NPI Profile Active November 18, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 18, 2021

Registered at 5030 NORTHWIND DR, EAST LANSING, MI 488235034 (Tel: 5173331499)

πŸ“
Business Mailing Address (Initial Record) November 18, 2021

Registered at 708 E BELLEVUE ST APT A15, LESLIE, MI 492519365 (Tel: 5173768887)

πŸ‘€
Provider Name / Credentials (Initial Record) November 18, 2021

Recorded as TRAVIS KAPP, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2021

Counselor (license number reported to NPPES: MI 6451019475)

🟒
Initial NPI Registration & Enumeration November 18, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275290876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2021
Last Update: January 09, 2025
Sole Proprietor: No

Mailing Address

1 Ford Pl Ste 3a

Detroit, MI 482023450

Phone: 3138744806

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.