Active NPI
Jennifer Andrea Porter, PCC
- Professional Counselor
- Columbus, OH
National Provider Identifier
1659569317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0500048
- Practice address
- 4440 Poth Rd
Columbus, OH 43213-1324 - Phone
- (614) 751-9068
- NPI assigned
- Oct 9, 2007
- Last updated
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0500048 | OH | Primary |
Addresses
Primary practice location
4440 Poth Rd
Columbus, OH 43213-1324
Mailing address
2803 Akron Rd
Wooster, OH 44691-7904
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 |
|---|---|---|---|
| E.0500048 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | 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, 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": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1659569317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 AKRON RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 POTH RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131324",
"telephone_number": "614-751-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JENNIFER",
"middle_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0500048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.