Angela Monique Porter, M.A., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0167911 Issued in NM

Practice address

3901 Montgomery Blvd NE Apt 207
Albuquerque, NM 87109-1085

Phone

(505) 410-9538

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Renewnm Therapy, Inc.

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1902585169
  Medicare reassignment NPD

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1811240294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MONTGOMERY BLVD NE APT 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091085",
            "telephone_number": "505-410-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MONTGOMERY BLVD NE APT 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091085",
            "telephone_number": "505-410-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANGELA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0167911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucelly Portee
• Denise Portell, RN
• Katherine Isabelle Portelli, MD
• Suzanne Porter-Bolton, RDN
• Melanie Jean Porter-Kunz, LISW
• Benjamin Porter, PHD
• Donald K Porter, MD
• Henry Koenig Porter
• Laura Ashton Porter
• Liz-Beth Porter, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.