Natasha Regina Porter, PHD, LMFT, LPCC-S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

262289 Issued in KY

Practice address

300 W Dixie Ave Ste 11
Elizabethtown, KY 42701-1764

Phone

(270) 900-1358

Fax

(844) 444-1150

NPI assigned

Mar 8, 2020

Last updated

Nov 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beacon of Light Behavioral Health, LLC.

  • Marriage & Family Therapist
  • Elizabethtown, KY
  • NPI 1245983824

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1326673526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 11",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011764",
            "telephone_number": "270-900-1358",
            "fax_number": "844-444-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 11",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011764",
            "telephone_number": "270-900-1358",
            "fax_number": "844-444-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "NATASHA",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "247969",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4317",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F2100220",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "262289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464336",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100670980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Nichole Pittman
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• Caitlyn Popham, APRN
• Peter J Popovich, D.O.
• Possibilities Pediatric Therapy
• Donna Pottinger
• Erica L Powell, APRN, FNP-C
• Mary Ellen Powell, PHARMD, BCPS, BCSCP
• Jessica Brooke Prahl, P.A.-C.

• Marriage & Family Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.