Active NPI
Mary Vivian Porter, LCSW LPC
- Professional Counselor
- Flower Mound, TX
National Provider Identifier
1700924016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 08339
- Practice address
- 6021 Morriss Road
Suite 110B
Flower Mound, TX 75028-3764 - Phone
- (972) 420-8834
- NPI assigned
- Feb 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 08339 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 4222 | TX |
Addresses
Primary practice location
6021 Morriss Road
Suite 110B
Flower Mound, TX 75028-3764
Mailing address
6021 Morriss Road
Suite 110B
Flower Mound, TX 75028-3764
Phone (972) 420-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08339 | TX | MD | Professional Counselor |
| 4222 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700924016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 MORRISS ROAD",
"address_2": "SUITE 110B",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283764",
"telephone_number": "972-420-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 MORRISS ROAD",
"address_2": "SUITE 110B",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283764",
"telephone_number": "972-420-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MARY",
"middle_name": "VIVIAN",
"name_prefix": "Ms.",
"credential": "LCSW LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "08339",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "4222",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.