Individual provider Active NPI

Mary Beth Porter, MA, LCDC, LPC ASSOC

  • Addiction (Substance Use Disorder) Counselor
  • Corpus Christi, TX
National Provider Identifier
1831846492
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15740 Issued in TX
Practice address
1801 S Alameda St Ste 150
Corpus Christi, TX 78404-2949
Phone
(361) 854-9199
Fax
(361) 854-9147
NPI assigned
Mar 3, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89986 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 15740 TX Primary

Addresses

Primary practice location

1801 S Alameda St Ste 150
Corpus Christi, TX 78404-2949

Mailing address

1801 S Alameda St Ste 150
Corpus Christi, TX 78404-2949
Phone (361) 854-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
89986TXMDProfessional Counselor
15740TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Council on Alcohol & Drug Abuse Coastal Bend PastSince Mar 6, 2022 Accepting new patients
Council on Alcohol and Drug Abuse - Coastal Bend Addiction (Substance Use Disorder) PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1831846492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S ALAMEDA ST STE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042949",
            "telephone_number": "361-854-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S ALAMEDA ST STE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042949",
            "telephone_number": "361-854-9199",
            "fax_number": "361-854-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARY BETH",
        "credential": "MA, LCDC, LPC ASSOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89986",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.