Victoria Porter, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6195 Issued in LA

Practice address

1525 Fullilove Dr
Bossier City, LA 71112-3346

Phone

(318) 747-1211

Fax

(318) 317-3333

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Council on Alcoholism and Drug Abuse of Northwest Louisiana

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1699955815
  NPD (past)
• Forever Wellness & Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1528555018
  NPD (past)
• Forever Wellness & Recovery LLC

  dba Forever Wellness & Recovery Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shreveport, LA
  • NPI 1578119996
  NPD (past)
• Reef Wellness

  • Professional Counselor
  • Shreveport, LA
  • NPI 1417574237
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1205476074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042099",
            "telephone_number": "318-222-8511",
            "fax_number": "318-425-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FULLILOVE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711123346",
            "telephone_number": "318-747-1211",
            "fax_number": "318-317-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "VICTORIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMG Opco-Colonial LLC (Colonial Oaks Skilled Nursing and Rehabilitation)
• PMG Opco-Pilgrim LLC (Pilgrim Manor Skilled Nursing and Rehabilitation)
• Jessica Poe
• Michael Andrew Polander, P.T.
• Pope W Oden III DDS Apdc
• Dyshell Poster
• Charles Alfred Powers, MD
• Dave Prakash, MD
• Nealan Dewayne Prather, MD
• Kellandrea Pratt

• Addiction (Substance Use Disorder) Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.