Active NPI
Stephanie Joanne Porter, M.S.
- Counselor
- Phila, PA
National Provider Identifier
1902093883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 112 N Broad St
RM 821
Phila, PA 19102-1510 - Phone
- (215) 568-0860
- Fax
- (215) 568-0769
- NPI assigned
- Sep 25, 2007
- Last updated
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
112 N Broad St
RM 821
Phila, PA 19102-1510
Mailing address
1103 Alfred Ave
Apt E
Yeadon, PA 19050-3953
Phone (610) 623-0844
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1902093883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 ALFRED AVE",
"address_2": "APT E",
"city": "YEADON",
"state": "PA",
"postal_code": "190503953",
"telephone_number": "610-623-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N BROAD ST",
"address_2": "RM 821",
"city": "PHILA",
"state": "PA",
"postal_code": "191021510",
"telephone_number": "215-568-0860",
"fax_number": "215-568-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STEPHANIE",
"middle_name": "JOANNE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.