Active NPI
Portner Counseling Group LLC
- Addiction (Substance Use Disorder) Counselor
- Naples, FL
National Provider Identifier
1467803437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MH13774
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 13774 | Other | FL | STATE MENTAL HEALTH LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Portner Counseling Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Pompano Beach, FL
- NPI 1023460821
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.
-
- Counselor
- Fort Lauderdale, FL
- NPI 1710167218
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.