Aaron Porter, M.S., LPC, LMFT, QMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5488 Issued in OR

Practice address

1717 Centennial Blvd Ste 12
Springfield, OR 97477-3378

Phone

(541) 203-6698

Fax

(541) 229-1285

NPI assigned

Jan 22, 2016

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Wellness Counseling, LLC

  • Mental Health Counselor
  • Springfield, OR
  • NPI 1912540519
  NPD Authorized official

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1053778969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CENTENNIAL BLVD STE 12",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773378",
            "telephone_number": "541-203-6698",
            "fax_number": "541-229-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CENTENNIAL BLVD STE 12",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773378",
            "telephone_number": "541-203-6698",
            "fax_number": "541-229-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "AARON",
        "credential": "M.S., LPC, LMFT, QMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5488",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Policha, FNP
• Kayla Ayne Pollard
• Elena Poole
• Rachel Jane Poplack
• Carly Porat, MD
• Avraam Postnikov
• Shannon Erin Powers
• Daniel Poyuzina, QMHP
• PPC Group LLC (Prevention Plus Clinic)
• Eva Pradhan, M.D.

• Mental Health Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.