Mr Travis James Ericksen, LPC in Portage, MI - Medicare Counselor Provider

Mr Travis James Ericksen, LPC is a medicare enrolled "Counselor - Professional" provider in Portage, Michigan. His current practice location is 6100 Newport Rd Ste 222, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 488-5929.

Mr Travis James Ericksen is licensed to practice in Michigan (license number 6401010965) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285878413.

Contact Information

	Mr Travis James Ericksen, LPC
	6100 Newport Rd Ste 222, Portage, MI 49002-9235
	(269) 488-5929
	(833) 599-7700

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Travis James Ericksen
Gender	Male
Speciality	Counselor - Professional
Location	6100 Newport Rd Ste 222, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285878413
Provider Enumeration Date: 05/01/2009
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6002259371
Enrollment ID: I20240205000841

Medical Identifiers

Medical identifiers for Mr Travis James Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285878413	NPI	-	NPPES
1708146	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401010965 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Travis James Ericksen allows following entities to bill medicare on his behalf.

Entity Name	Joy Unlimited Counseling Center Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164925269 PECOS PAC ID: 7810250073 Enrollment ID: O20180423000302

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Travis James Ericksen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Travis James Ericksen, LPC 6100 Newport Rd Ste 222, Portage, MI 49002-9235 Ph: (269) 488-5929	Mr Travis James Ericksen, LPC 6100 Newport Rd Ste 222, Portage, MI 49002-9235 Ph: (269) 488-5929

Reviews and Comments

Counselor in Portage, MI

Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356
Melissa Portia Fuller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553
Amy Albertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1651 W Centre Ave, Portage, MI 49024 Phone: 269-366-0650
Dr. Charmeka S Newton, PH.D Counselor Medicare: Accepting Medicare Assignments Practice Location: 1350 W Centre Ave, Portage, MI 49024 Phone: 269-910-7327 Fax: 269-910-7328
Miss Kristen Anne Aukeman, MA LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5805 Oakland Dr, Portage, MI 49024 Phone: 269-323-1954

Mr Travis James Ericksen, LPC - Medicare Counselor in Portage, MI