Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kristian Glynn Travis

Individual provider Mental Health Counselor · NPI 1295348233

Mr. Kristian Glynn Travis is a Mental Health Counselor in Salem, Massachusetts. Qualified in 2015, 11 years ago. Practices with Justice Resource Institute, Inc, a 26-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2020

Practice location Address checks out

110 Boston St
Salem, MA 01970-1402
Phone: (978) 744-7905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1295348233
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Justice Resource Institute, Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salem