Tabitha Portera, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC5728 Issued in ME

Practice address

20 E Summer St
Bangor, ME 04401-5514

Phone

(207) 944-6766

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Androscoggin Home Health Services, Inc.

  • Developmental Therapist
  • Lewiston, ME
  • NPI 1962646844
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1518487040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E SUMMER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015514",
            "telephone_number": "207-944-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E SUMMER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015514",
            "telephone_number": "207-944-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Springer Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013655",
            "country_code": "US",
            "telephone_number": "207-992-2535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Main St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016359",
            "country_code": "US",
            "telephone_number": "207-694-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTERA",
        "first_name": "TABITHA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL482",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Popovich, PA-C
• Frederick Port, DMD
• Kaileigh M Porter, RD CDE
• Patti Ann Porter, RNC
• Sara Porter, LCSW
• Anthony W Posuniak, FNP-BC
• Erik Ross Potter, LMSW-CC
• Amanda Moon Poulin, RD,LD,CDE
• Autumn Lynn Poulin
• Thomas G Poulin

• Professional Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.