Active NPI
Philip W Porter
- Mental Health Counselor
- Spartanburg, SC
National Provider Identifier
1396930194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6536
- Practice address
- 460 Langdon St.
Spartanburg, SC 29302-1614 - Phone
- (864) 582-2411
- Fax
- (864) 594-0040
- NPI assigned
- Sep 14, 2007
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6536 | SC | Primary |
Addresses
Primary practice location
460 Langdon St.
Spartanburg, SC 29302-1614
Mailing address
P.O. Box 5158
Spartanburg, SC 29304
Phone (864) 582-2411
Other practice location 1
250 Dewey Ave
Spartanburg, SC 29303-3009
Phone (864) 585-0366 ext. 127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6536 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1396930194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5158",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29304",
"telephone_number": "864-582-2411",
"fax_number": "864-594-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 LANGDON ST.",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021614",
"telephone_number": "864-582-2411",
"fax_number": "864-594-0040"
}
],
"practiceLocations": [
{
"address_1": "250 Dewey Ave",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033009",
"country_code": "US",
"telephone_number": "864-585-0366 x127",
"fax_number": "864-585-9208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "PHILIP",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.