Holly Porter, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60604133 Issued in WA

Practice address

104 N 30TH Ave
Yakima, WA 98902-2773

Phone

(509) 969-8274

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1194307017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N 30TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 30TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022773",
            "telephone_number": "509-969-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HOLLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60604133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LH60604133",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hollyportertherapy.com",
            "affiliation": "N",
            "address_1": "104 N 30th Ave",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989022773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ponderosa Retirement Center Inc.
• Jennifer Kohnlein Pontarolo, D.O.
• Andrew M Poplaski, PHARMD
• Ron Poplyk, CRNA
• Brooklyn Jean Porter
• Maria D. Portillo, BA/AAC
• Juan M Potes, MD
• Susan J Potter, PTA
• Denise J Potts-Ray, L.M.P.
• Sara Mirani Pournia, M.D.

• Mental Health Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.