Active NPI
Christianne Porta
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1639659725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3582
- Practice address
- 13919 Carrollwood Village Run
Tampa, FL 33618-2746 - Phone
- (305) 301-9787
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3582 | FL | Primary |
Addresses
Primary practice location
13919 Carrollwood Village Run
Tampa, FL 33618-2746
Mailing address
8340 SW 91St St
Miami, FL 33156-7346
Phone (305) 301-9787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3582 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Counseling, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmetto Bay, FL
- NPI 1558686543
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1639659725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 SW 91ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567346",
"telephone_number": "305-301-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13919 CARROLLWOOD VILLAGE RUN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182746",
"telephone_number": "305-301-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTA",
"first_name": "CHRISTIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.