Marvin Porter, ED.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7058 Issued in FL

Practice address

1011 Grace Ave
Panama City, FL 32401-2494

Phone

(850) 784-7888

Fax

(850) 387-1445

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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.

• All-N-One Therapy, Inc

  • Community/Behavioral Health Agency
  • Panama City, FL
  • NPI 1659572253
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558562140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-784-7888",
            "fax_number": "850-387-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012494",
            "telephone_number": "850-784-7888",
            "fax_number": "850-387-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRAGE AND FAMILY",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEXUAL OFFENDER COUSELING",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUPLE COUNSELING",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL THERAPY",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMESTIC VIOLENCE",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUGS AND ALCOHOL",
            "identifier": "10",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "10",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Pollard, DDS
• Arlenne Jeanette Ponce Mendez, M.D.
• Elizabeth Shealy Pope
• Carrie Poplin, MS
• Jeffrey Torrelle Porter
• Molly M Porter
• Vincy Porter, LMHC
• Bruce W Porterfield, M.D.
• Posey Professional Services Inc.
• Gary M Posey

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.