Syndrea Porter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

088805 Issued in IA

Practice address

1146 Blairs Ferry Rd NE Ste 2
Cedar Rapids, IA 52402-1274

Phone

(319) 360-6609

NPI assigned

Dec 18, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1700358520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 D ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042919",
            "telephone_number": "217-417-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 BLAIRS FERRY RD NE STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021274",
            "telephone_number": "319-360-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SYNDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "088805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Polley, PHARMD
• Richard T Pope, MD
• Corey Chad Popelka
• Laura Ann Popelka, BCHIS
• Abbie M. Port, PA-C
• Beverly Catherine Pospisil
• Mark Pospisil, MD
• Skyler Postel, TLMFT
• Mary Sophia Potempa
• Benjamin Potter, T-LMHC

• Mental Health Counselor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.