NPIMap

Organization Active NPI

Alyssa Porter LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1265927503
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4792 Issued in KS
Legal business name
ALYSSA PORTER LLC
Practice address
3310 E Douglas Ave
Wichita, KS 67208-3314
Phone
(316) 617-9831
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Miss Alyssa Jane Porter, LSCSW, LMACNPI 1437430170
Title
Therapit/Provider
Phone
(316) 617-9831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4792 KS Primary

Addresses

Primary practice location

3310 E Douglas Ave
Wichita, KS 67208-3314

Mailing address

3310 E Douglas Ave
Wichita, KS 67208-3314
Phone (316) 617-9831

National Provider Directory

National Provider Directory

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1265927503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083314",
            "telephone_number": "316-617-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083314",
            "telephone_number": "316-617-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA PORTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "THERAPIT/PROVIDER",
        "authorized_official_telephone_number": "316-617-9831",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LSCSW, LMAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.