ANTONIA JO LYNN PORTER (NPI# 1730437336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730437336 |
| Entity Type | Individual |
| Full Name | ANTONIA JO LYNN PORTER |
| Credential | MASTER OF SCIENCE |
| Practice Address |
109 Thorn St Ste B-3 Princeton WV 24740 |
| Mailing Address |
109 Thorn St Ste B-3 Princeton WV 24740-3571 |
| Practice Telephone | 3049609515 |
| Mailing Telephone | 3049609515 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2032 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005489001 | 05 | |
| WV | 0005489002 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Thorn St Ste B-3, Princeton, WV 24740 | 3049609515 |
| Street Address |
109 THORN ST STE B-3 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081988 | Sunshine Counseling Center, LLC | Counselor | 109 Thorn St Ste B-3, Princeton, WV 24740-3571 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| 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 |
|---|---|---|---|---|
| 1487296117 | Dayna Lynn D'amico | Counselor | 213 Commons Way Ste 214, Princeton, NJ 08540-1508 | 2019-10-15 |
| 1881154862 | Beth L Way | Counselor | 20 Nassau St Ste 504, Princeton, NJ 08542-4505 | 2019-03-25 |
| 1760974646 | Nicole Ciccone | Counselor | 103 Carnegie Ctr Ste 120, Princeton, NJ 08540-6235 | 2018-06-05 |
| 1407344427 | Michael Lasser | Counselor | 205 S Jefferson St, Princeton, KY 42445-1905 | 2018-04-25 |
| 1801311097 | Michael E Miroux | Counselor | 526 S Bureau Valley Pkwy Ste B, Princeton, IL 61356-2066 | 2017-08-08 |
| 1316337066 | Viewsight, Inc. | Counselor | 1109 Antoinette Dr, Princeton, TX 75407-2808 | 2015-02-03 |
| 1700095882 | New Horizons Psychological Associates Pllc | Counselor | 105 Gott Road, Princeton, WV 24740-2103 | 2007-05-22 |
| 1922126549 | Carol Lynn Hubbard | Counselor | Rr 2 Box 296a, Princeton, MO 64673-9462 | 2007-03-26 |
| 1306916150 | Barbara Lee Anderson | Counselor | 905 Mercer Street, Princeton, WV 24740-2909 | 2006-11-09 |
| 1265473185 | Ethel Marie Musick | Counselor | 327 Mercer St, Princeton, WV 24740-3313 | 2006-06-10 |
| Find all providers in PRINCETON | ||||
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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.