Organization Active NPI

Jennifer Porter Counseling LLC

  • Community/Behavioral Health Agency
  • Meadville, PA
National Provider Identifier
1720649544
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER PORTER COUNSELING LLC
Practice address
764 Bessemer St Ste 103
Meadville, PA 16335-1862
Phone
(814) 573-3173
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Jennifer PorterNPI 1649651738
Title
Owner
Phone
(814) 573-3173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

764 Bessemer St Ste 103
Meadville, PA 16335-1862

Mailing address

764 Bessemer St Ste 103
Meadville, PA 16335-1862
Phone (814) 573-3173

Other identifiers 2

IdentifierTypeStateIssuer
1649651738MedicaidPA
1649651738OtherPANPI

National Provider Directory

National Provider Directory
Tax ID family
Jennifer Porter Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 N Main St
Ste 5D
Lima, OH 45801

764 Bessemer St
Ste 103
Meadville, PA 16335
Phone (814) 573-3173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1720649544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 BESSEMER ST STE 103",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351862",
            "telephone_number": "814-573-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 BESSEMER ST STE 103",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351862",
            "telephone_number": "814-573-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PORTER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-573-3173"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649651738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649651738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.