Lesa E. Porter, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.005982 Issued in IL

Practice address

6325 Virginia LN
Matteson, IL 60443-2074

Phone

(708) 677-5621

Fax

(708) 816-1717

NPI assigned

Sep 21, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1881902138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 VIRGINIA LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432074",
            "telephone_number": "708-677-5621",
            "fax_number": "708-816-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 VIRGINIA LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432074",
            "telephone_number": "708-677-5621",
            "fax_number": "708-816-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LESA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Placzkowski, ATC
• Janae Elizabeth Poisson
• Charity Polk
• Renee Polk
• Anthony Allen Poole Sr., MPA, MAC, CCJS
• Malaya Janae Porter
• Positive Impact Solution
• Prince&Princess
• Joseph Probst
• Progressive Dental & Associates, PC

• Mental Health Counselor in Matteson, IL
• Providers in Matteson, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.