CASEY MARK PORTNER (NPI# 1710167218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710167218 |
| Entity Type | Individual |
| Full Name | CASEY MARK PORTNER |
| Practice Address |
919 Ne 13th St Fort Lauderdale FL 33304-2009 |
| Practice Telephone | 9547632030 |
| Practice Fax Number | 9544675844 |
| Mailing Telephone | 9547632030 |
| Mailing Fax Number | 9544675844 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
919 NE 13TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969744 | Stephanie Hall Ford | Nurse Practitioner | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2006-02-04 |
| 1164037651 | Michelle Francis Maloney | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2020-09-10 |
| 1922639137 | Michael Boas Pmhnp Pllc | Clinic/Center | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2020-01-28 |
| 1497317481 | Nadine Thomas-burton | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-07-01 |
| 1780243253 | Melissa Kristine Reesor Martin | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-06-10 |
| 1629632591 | Curtis Wilson Gillis | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2012 | 2019-04-26 |
| 1548598782 | Lisa Forman Becker | Nurse Practitioner | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2009-11-30 |
| 1922271444 | Marie Fairchild | Social Worker | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2008-04-04 |
| 1104004480 | Archways | Community/Behavioral Health | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2008-02-08 |
| 1649383928 | Sara Janette Hewitt | Counselor | 919 Ne 13th St, Fort Lauderdale, FL 33304-2009 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890043 | Katia A Araujo | Counselor | 941 Ne 19th Ave Ste 305, Fort Lauderdale, FL 33304-3071 | 2019-09-13 |
| 1801396312 | Huggyse Armand | Counselor | 2630 W Broward Blvd Ste 203-702, Fort Lauderdale, FL 33312-1314 | 2018-02-20 |
| 1669927653 | Imani Ariel Williams-ephriam | Counselor | 1810 E Oakland Park Blvd Apt 12, Fort Lauderdale, FL 33306-1123 | 2016-08-18 |
| 1710382072 | Melvina Jackson Davis | Counselor | 401 Sw 30th Ave, Fort Lauderdale, FL 33312-2012 | 2014-10-29 |
| 1699177535 | Team Saving Our Youth, Inc. | Counselor | 1033 Nw 6th St, Suite 206-e, Fort Lauderdale, FL 33311-8125 | 2014-09-23 |
| 1548672314 | Sonia Romero | Counselor | 2131 Ne 55th Ct, Fort Lauderdale, FL 33308-3111 | 2014-05-28 |
| 1790035905 | Farile Erase | Counselor | 1925 S Perimeter Rd Suite #120, Fort Lauderdale, FL 33309 | 2012-09-14 |
| 1770713331 | Michon Lubbers | Counselor | 14 Seneca Road, Fort Lauderdale, FL 33308 | 2009-07-16 |
| 1629165311 | Michael George Foertsch | Counselor | 3300 Port Royale Dr N, Apartment 117, Fort Lauderdale, FL 33308-7919 | 2006-10-06 |
| 1366060253 | Carol A. Parks | Counselor | 920 Nw 7th Ave, Fort Lauderdale, FL 33311-7229 | 2020-07-08 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.