Organization Active NPI

Portner Counseling Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Naples, FL
National Provider Identifier
1467803437
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MH13774 Issued in FL
Legal business name
PORTNER COUNSELING GROUP LLC
Practice address
2345 Stanford CT
Suite 601
Naples, FL 34112-4874
Phone
(239) 775-0039
Fax
(239) 775-0088
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Casey M Pornter, LCSW
Title
Managing Owner
Phone
(954) 895-6263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH13774 FL Primary

Addresses

Primary practice location

2345 Stanford CT
Suite 601
Naples, FL 34112-4874

Mailing address

2345 Stanford CT
Suite 601
Naples, FL 34112-4874
Phone (239) 775-0039

Other identifiers 1

IdentifierTypeStateIssuer
MH 13774OtherFLSTATE MENTAL HEALTH LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Portner Counseling Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2345 Stanford Ct
Ste 601
Naples, FL 34112
Phone (239) 537-9646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1467803437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT",
            "address_2": "SUITE 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124874",
            "telephone_number": "239-775-0039",
            "fax_number": "239-775-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT",
            "address_2": "SUITE 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124874",
            "telephone_number": "239-775-0039",
            "fax_number": "239-775-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTNER COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "PORNTER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "954-895-6263",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH13774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MENTAL HEALTH LICENSE",
            "identifier": "MH 13774",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

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