Inna Komarovsky Porter, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5180 Issued in SC

Practice address

1304B Commerce Dr
New Bern, NC 28562-2212

Phone

(252) 508-0084

Fax

(252) 649-1624

NPI assigned

Dec 13, 2011

Last updated

Jan 25, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Safe Harbor Counseling, PLLC

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1346852290
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1356619704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304B COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-508-0084",
            "fax_number": "252-649-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304B COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-508-0084",
            "fax_number": "252-649-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "INNA",
        "middle_name": "KOMAROVSKY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Health Services
• Port Health Services
• Port Health Services
• Port Human Services
• Charles Robert Port, D.O.
• Amy Michele Portofe, LPC
• Chelsea Darcel Posey, LCMHCA
• Prakash Poudel, MD
• Jonathan Jay Scott Powell
• Juziyia Shontell Powell

• Professional Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.