Brittani Amber Marie Porter, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02078 Issued in MN

Practice address

5563 Hugo Rd
White Bear Lake, MN 55110-2344

Phone

(651) 465-5036

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ruby Mental Health PLLCGroup PAC ID 3971029273, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ruby Mental Health PLLC

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1154136547
  Medicare reassignment Care Compare group NPD Authorized official
• Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
  • NPI 1396314654
  Medicare reassignment NPD
• Minnesota Online Counseling LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1609255694
  NPD (past)
• Optimal Brain MN, PLLC

  • Clinical Psychologist
  • Oakdale, MN
  • NPI 1609614957
  NPD (past)
• South Metro Human Services

  • Case Management Agency
  • Saint Paul, MN
  • NPI 1417021429
  NPD (past)
• South Metro Human Services

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1578642757
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1487971016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 HUGO RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102344",
            "telephone_number": "651-468-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 HUGO RD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102344",
            "telephone_number": "651-465-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sibley St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551011938",
            "country_code": "US",
            "telephone_number": "651-291-1979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BRITTANI",
        "middle_name": "AMBER MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300933",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Pinnow
• Javier Pinon Jr.
• Paolo Emil Puno-Mandapat Pinto
• Brittney Ann Pohto
• James Polucha, PHARM.D
• Post Acute Pharmacy Consulting
• Zachary Vincent Post, DC
• Premise Health of Minnesota Medical PC (Pipe Trades Services MN Family Health & Wellness Centers)
• Ernest Joseph Price, STUDENT
• Psychological Consultants of So MN PA

• Mental Health Counselor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.