Porscha Profitt, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC14180 Issued in CA

Practice address

5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309-2664

Phone

(256) 457-7385

Fax

(661) 735-8559

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2023.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1831571041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092664",
            "telephone_number": "256-457-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STOCKDALE HWY STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092664",
            "telephone_number": "256-457-7385",
            "fax_number": "661-735-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Chateau Dr SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017415",
            "country_code": "US",
            "telephone_number": "256-667-4090 x1002",
            "fax_number": "256-666-0465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Cypress Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588232",
            "country_code": "US",
            "telephone_number": "256-457-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFITT",
        "first_name": "PORSCHA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC14180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.