Tangenise Sharane Porter, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.007552 Issued in IL

Practice address

15900 S Cicero Building B12
Oak Forest Hospital
Oak Forest, IL 60452

Phone

(708) 633-2581

Fax

(708) 633-2034

NPI assigned

Jan 8, 2013

Sex

Female

Sole proprietor

No

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1912244153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 S GREENWOOD",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-934-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 S CICERO BUILDING B12",
            "address_2": "OAK FOREST HOSPITAL",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-633-2581",
            "fax_number": "708-633-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TANGENISE",
        "middle_name": "SHARANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.007552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Community Medical Center North, S.C.
• Physicians Community Medical Center Oak Forest, S.C.
• Physicians Community Medical Specialists
• Physicians Community Pharmacy, Inc
• Jenna C Podjasek, MD
• Sarah James Posey, PA-C
• Pour Connections
• Lisa Pringle
• Progressive Medical & Hospital Supplies Inc.
• Thomas Prozorovsky, D.D.S.

• Mental Health Counselor in Oak Forest, IL
• Providers in Oak Forest, 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 Jan 8, 2013; 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.