Active NPI
Rita Marie Porter, LCPC
- Mental Health Counselor
- Aurora, IL
National Provider Identifier
1144423906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180-002881
- Practice address
- 1230 N Highland Ave
Aurora, IL 60506-1401 - Phone
- (630) 966-4000
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3887-125 | WI | |
| Mental Health Counselor | 101YM0800X | 180-002881 | IL | Primary |
Addresses
Primary practice location
1230 N Highland Ave
Aurora, IL 60506-1401
Mailing address
2671 Stone Cir
#205
Geneva, IL 60134-1008
Phone (630) 966-4329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43719600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-002881 | IL | MD | Mental Health Counselor |
| 3887-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1144423906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2671 STONE CIR",
"address_2": "#205",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341008",
"telephone_number": "630-966-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061401",
"telephone_number": "630-966-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "RITA",
"middle_name": "MARIE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3887-125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180-002881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43719600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.