Individual provider Active NPI

Gina Porter, LPC

  • Professional Counselor
  • Salida, CO
National Provider Identifier
1477216372
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0020943 Issued in CO
Practice address
245 E Rainbow Blvd Ste 12
Salida, CO 81201-2519
Phone
(719) 239-0747
NPI assigned
Oct 18, 2021
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0020943 CO Primary

Addresses

Primary practice location

245 E Rainbow Blvd Ste 12
Salida, CO 81201-2519

Mailing address

245 E Rainbow Blvd
Salida, CO 81201-2519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20250414002649 CO Practitioner - Mental Health Counselor 0244767242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020943COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Rockies Counseling Services Professional CurrentSince Jan 15, 2025 Accepting new patients
High Rockies Counseling Services Professional Past Accepting new patients
High Rockies Counseling Services Professional Past Accepting new patients

Locations

245 E Rainbow Blvd
Ste 12
Salida, CO 81201
Phone (719) 239-0747

245 E Rainbow Blvd
Salida, CO 81201
Phone (719) 239-0747

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1477216372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E RAINBOW BLVD",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E RAINBOW BLVD STE 12",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012519",
            "telephone_number": "719-239-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0020943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.