Active NPI
Mary Anna Carol Porter, C.HT.
- Counselor
- Madison, AL
National Provider Identifier
1992698724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 010519
- Practice address
- 122 Ketchum Way
Madison, AL 35758-1033 - Phone
- (256) 668-2830
- NPI assigned
- May 30, 2025
- 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 | 010519 | CA | Primary |
Addresses
Primary practice location
122 Ketchum Way
Madison, AL 35758-1033
Mailing address
122 Ketchum Way
Madison, AL 35758-1033
Phone (256) 668-2830
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acp@conciergeheal.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010519 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1992698724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 KETCHUM WAY",
"city": "MADISON",
"state": "AL",
"postal_code": "357581033",
"telephone_number": "256-668-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 KETCHUM WAY",
"city": "MADISON",
"state": "AL",
"postal_code": "357581033",
"telephone_number": "256-668-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MARY",
"middle_name": "ANNA CAROL",
"credential": "C.HT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "CA",
"license": "010519",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acp@conciergeheal.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text/plain, text/html, text/css, text/javascript, image/jpeg, image/png, image/gif, audio/mpeg, video/mp4, application/json, application/xml, application/pdf, multipart/form-data, multipart/byteranges",
"address_1": "122 Ketchum Way",
"city": "Madison",
"state": "AL",
"country_code": "US",
"postal_code": "357581033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.