Holly Marie Porter, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1431 Issued in NE

Practice address

9100 Andermatt Drive
Suite 1
Lincoln, NE 68526-6700

Phone

(402) 434-2730

Fax

(402) 434-3970

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Affect Provider Group, P.S.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lincoln, NE
  • NPI 1023889052
  NPD (past)
• Pine Lake Behavioral Health, LLC.

  • Clinic/Center
  • Lincoln, NE
  • NPI 1003310061
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1780150722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DR STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DRIVE",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Poppert
• Matthew Porn, O.D.
• Antoinette C Porter
• Gannie Porter
• Hayley Porter, DPT
• Tanya Porter
• Robert Norman Portnoy, PHD
• David Anthony Porto, APRN
• Montrey Posey
• Positive Paths Therapy LLC

• All providers in Lincoln, NE
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.