Individual provider Active NPI

Delicia Lashele Porter, LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1306135165
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10361 Issued in OK
Practice address
8724 E Parkridge Dr
Oklahoma City, OK 73141-2240
Phone
(405) 769-7738
Fax
(405) 769-7738
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 10361 OK Primary

Addresses

Primary practice location

8724 E Parkridge Dr
Oklahoma City, OK 73141-2240

Mailing address

8724 E Parkridge Dr
Oklahoma City, OK 73141-2240
Phone (405) 769-7738

Other identifiers 3

IdentifierTypeStateIssuer
1821508763OtherOKMETRO FAMILY THERAPY
1154518330OtherOKNEW HORIZON YOUTH & FAMILY SERVICES
1255854725OtherOKCTC MISSION TREATMENT

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

LicenseStateTypeSpecialty
10361OKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1306135165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 E PARKRIDGE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731412240",
            "telephone_number": "405-769-7738",
            "fax_number": "405-769-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8724 E PARKRIDGE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731412240",
            "telephone_number": "405-769-7738",
            "fax_number": "405-769-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DELICIA",
        "middle_name": "LASHELE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRO FAMILY THERAPY",
            "identifier": "1821508763",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HORIZON YOUTH & FAMILY SERVICES",
            "identifier": "1154518330",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTC MISSION TREATMENT",
            "identifier": "1255854725",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.