Individual provider Active NPI

Mary Anna Carol Porter, C.HT.

  • Counselor
  • Madison, AL
National Provider Identifier
1992698724
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
010519 Issued in CA
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

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
010519CAMDCounselor

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.

Verify at the official NPI Registry.