Individual provider Active NPI

Portia T Hines, MS

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1396076667
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
107 Jefferson St N
Huntsville, AL 35801-4813
Phone
(256) 970-9133
Fax
(256) 513-4172
NPI assigned
Jan 26, 2010
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

107 Jefferson St N
Huntsville, AL 35801-4813

Mailing address

107 Jefferson St N
Huntsville, AL 35801-4813
Phone (256) 970-9133

Other practice location 1

4110 Highway 31 South
Decatur, AL 35603-1644
Phone (256) 355-6105

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Provider.bcbsal.org Other

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
My Journey Solutions, LLC Mental Health CurrentSince Sep 13, 2020 Accepting new patients
Mental Health Center of North Central Alabama Inc. PastSince May 6, 1996 Accepting new patients
Mental Health Center of North Central Alabama Past Accepting new patients

Locations

107 Jefferson St N
Huntsville, AL 35801
Phone (256) 361-9519

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1396076667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JEFFERSON ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014813",
            "telephone_number": "256-970-9133",
            "fax_number": "256-513-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JEFFERSON ST N",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014813",
            "telephone_number": "256-970-9133",
            "fax_number": "256-513-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Highway 31 South",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031644",
            "country_code": "US",
            "telephone_number": "256-355-6105",
            "fax_number": "256-341-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "PORTIA",
        "middle_name": "T",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Provider.bcbsal.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "File claims",
            "address_1": "107 Jefferson St N",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358014813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.