Emily Porter

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY-1771449 Issued in ID

Practice address

2105 Coronado St
Idaho Falls, ID 83404-7495

Phone

(208) 534-7881

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  • Psychologist
  • Lafayette, CO
  • NPI 1548657877
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1295830123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047495",
            "telephone_number": "208-534-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047495",
            "telephone_number": "208-534-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806313835",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "fax_number": "970-353-3906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6680 Gunpark Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013349",
            "country_code": "US",
            "telephone_number": "720-387-8458 x72038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 S 25th E",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044606",
            "country_code": "US",
            "telephone_number": "208-656-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-5352",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY-1771449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Eyecare PLLC
• Andrea Porter, RDN
• Bailey Leigh Porter, MSOT, OTR/L
• Chad Michael Porter, LCSW
• Clayden Porter, LSW
• John Wesley Porter, OD
• Kimberly Porter, LMSW
• Lisa L. Porter, O.D.
• Misty Porter
• Jason Michael Poston, MD

• Counseling Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Counseling Psychologist in Idaho

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