Jason Michael Porter, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02451 Issued in MN

Practice address

724 Bielenberg Dr # 108
Woodbury, MN 55125-2620

Phone

(612) 670-1742

Fax

(651) 390-6289

NPI assigned

Apr 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• JPC Mental Health, LLC

  • Mental Health Counselor
  • Woodbury, MN
  • NPI 1942163159
  NPD Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1336760750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 ORDELL TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827510",
            "telephone_number": "612-670-1742",
            "fax_number": "651-390-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 BIELENBERG DR # 108",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252620",
            "telephone_number": "612-670-1742",
            "fax_number": "651-390-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Pokharel
• Anthony John Polcari, M.D.
• David Pontius, PA-C
• Michelle A Poore, LIC SW
• Denton Wilson Porter Jr., PHARMD
• Marquel Elaine Porter
• Anne Poulsen, M.D.
• Powell Family Dentistry Inc.
• Judy A Powell, MS, LADC
• Richard R Powell, DDS

• Mental Health Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.