Angel Nicole Porter, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13428 Issued in NC

Practice address

2920 Forestville Rd Ste 100-1212
Raleigh, NC 27616-8774

Phone

(910) 939-1025

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Run Counseling, PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1134884265
  NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1295246783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 BROWN DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967346259",
            "telephone_number": "910-939-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 FORESTVILLE RD STE 100-1212",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168774",
            "telephone_number": "910-939-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANGEL",
        "middle_name": "NICOLE",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13428",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Porowski, PSY.D.
• Virginia C Porowski, M.A.
• Anthony Pasquale Porrett, LCAS, CCS
• Port City Psychotherapy PLLC
• Heloisa H Portela, LPC NCC
• Ashley Michelle Porter, CRNA
• Isaac William Porter, M.D.
• Kianna Porter, LCSWA
• Kristen Marleau Porter, LPC
• Laura Leigh Porter, NP

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.