Organization Active NPI

Porter Wellness Inc

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1295696615
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PORTER WELLNESS INC
Practice address
3209 Ingersoll Ave Ste 100
Des Moines, IA 50312-3920
Phone
(515) 318-7062
Fax
(515) 318-7062
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mr. Logan Lunning Porter, LISWNPI 1851775084
Title
President
Phone
(515) 661-3391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3209 Ingersoll Ave Ste 100
Des Moines, IA 50312-3920

Mailing address

1734 63Rd St
Windsor Heights, IA 50324-5950
Phone (515) 318-7062

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.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1295696615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 63RD ST",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503245950",
            "telephone_number": "515-318-7062",
            "fax_number": "515-318-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 INGERSOLL AVE STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123920",
            "telephone_number": "515-318-7062",
            "fax_number": "515-318-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "LUNNING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-661-3391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.