Individual provider Active NPI

Kelly Diane Porterfield, LPC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1285962472
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0005489 Issued in CO
Practice address
5265 N Academy Blvd Ste 1800
Colorado Springs, CO 80918-4061
Phone
(719) 648-0920
Fax
(719) 635-9946
NPI assigned
Nov 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0005489 CO Primary

Addresses

Primary practice location

5265 N Academy Blvd Ste 1800
Colorado Springs, CO 80918-4061

Mailing address

5265 N Academy Blvd Ste 1800
Colorado Springs, CO 80918-4061
Phone (719) 648-0920

Other practice location 1

510 W Midland Ave
Woodland Park, CO 80863
Phone (000) 000-0000

Other practice location 2

6338 S US Highway 85-87
Fountain, CO 80817-1006
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
9000155454MedicaidCO

Other names 1

  • Kelly Diane Jordan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1259193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1285962472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 1800",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184061",
            "telephone_number": "719-648-0920",
            "fax_number": "719-635-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 1800",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184061",
            "telephone_number": "719-648-0920",
            "fax_number": "719-635-9946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "80863",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6338 S US Highway 85-87",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808171006",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "KELLY",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0005489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000155454",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JORDAN",
            "middle_name": "DIANE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.