Active NPI
Porscha Millender
- Counselor
- Lawton, OK
National Provider Identifier
1962756759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 605 W Gore Blvd
Suite 5a
Lawton, OK 73501-3727 - Phone
- (580) 647-9701
- Fax
- (580) 351-6570
- NPI assigned
- Nov 1, 2012
- Last updated
- Nov 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
605 W Gore Blvd
Suite 5a
Lawton, OK 73501-3727
Mailing address
2565 SE Trail Rd
Lawton, OK 73501-5260
Phone (580) 647-9701
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1962756759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 SE TRAIL RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735015260",
"telephone_number": "580-647-9701",
"fax_number": "580-351-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W GORE BLVD",
"address_2": "SUITE 5A",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013727",
"telephone_number": "580-647-9701",
"fax_number": "580-351-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLENDER",
"first_name": "PORSCHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.