Shervetta Renee Porter, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3685 Issued in TN

Practice address

100 Country Club Dr Ste 200
Hendersonville, TN 37075-4376

Phone

(615) 348-5806

Fax

(615) 285-8130

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Restore Life Behavioral Health

  • Professional Counselor
  • Hendersonville, TN
  • NPI 1881174787
  NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1922180983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB DR STE 200",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754376",
            "telephone_number": "615-348-5806",
            "fax_number": "615-285-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB DR STE 200",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754376",
            "telephone_number": "615-348-5806",
            "fax_number": "615-285-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 N 2nd St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406460",
            "country_code": "US",
            "telephone_number": "615-348-5806",
            "fax_number": "615-285-8130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 E Main St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752645",
            "country_code": "US",
            "telephone_number": "615-881-3966",
            "fax_number": "615-881-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHERVETTA",
        "middle_name": "RENEE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "3685",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q027516",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Poland
• Mary Lou Polchek, PTA
• Jessica Pollock, PT
• Rachel Poole, PT. DPT
• Jessica M.L Porter
• Michael Alvin Post, PHARM.D.
• Sherri Anne Post, PHARM, D.
• Alyssa Potter
• Lindsey Marie Potter, NP
• Allie Potts, RBT

• Professional Counselor in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.