IndividualActive
Travis Gordon
NPI 1104488105 · Professional Counselor · Grand Rapids, MI
Travis Gordon is a Professional Counselor provider in Grand Rapids, MI (NPI 1104488105).
Provider details
- NPI number
- 1104488105
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6451017462 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4867 E Beltline Ave Ne
Building #1, Suite 4
Grand Rapids, MI 49525
Phone: (616) 232-6050
Street-level locationGet directions
Mailing address
1001 E Beltline Ave Ne
Grand Rapids, MI 49525-5803
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2021-12-22
- Certified
- 2021-12-21
Frequently asked questions
- What is Travis Gordon's NPI number?
- Travis Gordon's National Provider Identifier (NPI) is 1104488105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Travis Gordon's specialty?
- Travis Gordon is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Travis Gordon located?
- Travis Gordon's practice location on file with NPPES is 4867 E Beltline Ave Ne, Grand Rapids, MI 49525.
- What is Travis Gordon's phone number?
- The practice phone number listed in the NPPES registry for Travis Gordon is (616) 232-6050.
- Is Travis Gordon's NPI active?
- Yes — Travis Gordon's NPI (1104488105) is active in the NPPES registry as of the last update on 2021-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.