Organization Active NPI

Portner Counseling Group

  • Addiction (Substance Use Disorder) Counselor
  • Pompano Beach, FL
National Provider Identifier
1023460821
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1706AD859301 Issued in FL
Legal business name
PORTNER COUNSELING GROUP
Practice address
1800 N Federal Hwy
Suite 206
Pompano Beach, FL 33062-1034
Phone
(954) 895-6263
Fax
(239) 775-0088
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Casey M Portner, LCSWNPI 1710167218
Title
Managing Owner
Phone
(954) 895-6263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1706AD859301 FL Primary

Addresses

Primary practice location

1800 N Federal Hwy
Suite 206
Pompano Beach, FL 33062-1034

Mailing address

1800 N Federal Hwy
Suite 206
Pompano Beach, FL 33062-1034
Phone (954) 895-6263

Other identifiers 1

IdentifierTypeStateIssuer
1706AD859301OtherFLSTATE DCF LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Portner Counseling Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 N Federal Hwy
Ste 206
Pompano Beach, FL 33062
Phone (954) 895-6263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1023460821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-895-6263",
            "fax_number": "239-775-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-895-6263",
            "fax_number": "239-775-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTNER COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "PORTNER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "954-895-6263",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1706AD859301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DCF LICENSE",
            "identifier": "1706AD859301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.