Active NPI
Cori A. Porter, PLADC
- Addiction (Substance Use Disorder) Counselor
- Fremont, NE
National Provider Identifier
1285024406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- P-1267
- Practice address
- 230 E 22ND St
Suite 4
Fremont, NE 68025-2661 - Phone
- (402) 932-2248
- Fax
- (402) 932-3557
- NPI assigned
- Jan 26, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1267 | NE | Primary |
Addresses
Primary practice location
230 E 22ND St
Suite 4
Fremont, NE 68025-2661
Mailing address
230 E 22ND St
Suite 4
Fremont, NE 68025-2661
Phone (402) 932-2248
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 |
|---|---|---|---|
| P-1267 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1285024406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E 22ND ST",
"address_2": "SUITE 4",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252661",
"telephone_number": "402-932-2248",
"fax_number": "402-932-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 22ND ST",
"address_2": "SUITE 4",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252661",
"telephone_number": "402-932-2248",
"fax_number": "402-932-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CORI",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "PLADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "P-1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.