ELIZABETH PORTER (NPI# 1922496702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922496702 |
| Entity Type | Individual |
| Full Name | ELIZABETH PORTER |
| Practice Address |
8072 21 Mile Rd Shelby Township MI 48317-4310 |
| Practice Telephone | 5869322700 |
| Practice Fax Number | 5869322705 |
| Mailing Telephone | 5869322700 |
| Mailing Fax Number | 5869322705 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401010305 | MI | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
SC0000622 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20855 S Miles St, Clinton Township, MI 480361951 | 5862150376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053841031 | Elizabeth Nicole Porter | Speech-Language Pathologist | 137 Eden School Rd, Morgantown, KY 42261-8150 | 2017-06-13 |
| 1942572706 | Elizabeth Hadley Porter | Physical Therapist | 100 Poloke Pl, Honolulu, HI 96822-5008 | 2012-02-08 |
| 1083981559 | Elizabeth Cooper Porter | Occupational Therapist | 2427 Russellville Road, Bowling Green, KY 42101-3980 | 2011-11-28 |
| 1255626206 | Elizabeth Ann Porter | Doula | 2007 33rd Ave, San Francisco, CA 94116-1128 | 2011-06-17 |
| 1356595334 | Elizabeth Porter | Social Worker | 3817 Plaza Dr, Fairfax, VA 22030-2512 | 2008-11-04 |
| 1184255317 | Elizabeth Kay Porter | Occupational Therapist | 9730 Prairie Lakes Blvd E, Noblesville, IN 46060-4766 | 2020-01-27 |
| 1134774540 | Elizabeth Porter | Behavior Technician | 1635 Farm Way, Middleburg, FL 32068-7769 | 2019-08-04 |
| 1699338400 | Elizabeth Anne Porter | Speech-Language Pathologist | 1720 S Amphlett Blvd Ste 110, San Mateo, CA 94402-2710 | 2019-04-17 |
| 1497233795 | Elizabeth Trask Porter | Social Worker | 175 North Beacon Street, (lower School Program), Watertown, MA 02472-2790 | 2018-07-30 |
| 1528506219 | Elizabeth Porter | Nurse Practitioner | 1955 W Frye Rd, Nso Office, Chandler, AZ 85224-6282 | 2017-02-02 |
| Street Address |
8072 21 MILE RD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822683 | Daniela Trpceska-nastoska | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2019-10-11 |
| 1073084083 | Lakeside Professional Counseling, P.C. | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2018-12-17 |
| 1487194890 | Jessica J Lentz | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| 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 |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1174086946 | Alliance Professional Counseling LLC | Counselor | 13295 W Star Dr, Shelby Township, MI 48315-2741 | 2019-04-09 |
| 1780169656 | Liza Hinchey | Counselor | 45445 Mound Rd Ste 111, Shelby Township, MI 48317-5178 | 2018-09-26 |
| 1609313097 | Donna Ann Berry | Counselor | 53027 Hawald Dr, Shelby Township, MI 48316-3757 | 2017-01-24 |
| 1518324839 | Kristina Eubanks | Counselor | 45039 Oak Hill Blvd, Shelby Township, MI 48317-4932 | 2016-01-16 |
| 1033590286 | Cyd Charisse Grace | Counselor | 45660 Schoenherr Rd Ste A, Shelby Township, MI 48315-6033 | 2015-06-13 |
| 1942515325 | Tonya Jean Ratliff | Counselor | 45445 Mound Rd, Suite 111, Shelby Township, MI 48317-5178 | 2010-08-10 |
| 1073713699 | Cynthia Ann Kozak | Counselor | 46413 Spruce Dr, Shelby Township, MI 48315-5757 | 2007-07-22 |
| 1831138718 | Debra Marie Kuszmaul | Counselor | 13001 23 Mile Rd Ste 103, Shelby Township, MI 48315-2767 | 2006-06-06 |
| 1457982084 | Andrew William Wilgus | Counselor | 50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374 | 2020-02-02 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
Please comment or provide details below to improve the information on ELIZABETH PORTER.
| 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.