Nichole Porter, LPC in Salem, OR - Medicare Counselor Provider

Nichole Porter, LPC is a medicare enrolled "Counselor - Mental Health" provider in Salem, Oregon. Her current practice location is 2355 State St Ste 101, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 716-5320.

Nichole Porter is licensed to practice in Oregon (license number C5248) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174984553.

Contact Information

	Nichole Porter, LPC
	2355 State St Ste 101, Salem, OR 97301-4541
	(541) 716-5320
	(541) 255-0941

Map and Direction

Healthcare Provider's Profile

Full Name	Nichole Porter
Gender	Female
Speciality	Counselor - Mental Health
Location	2355 State St Ste 101, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174984553
Provider Enumeration Date: 03/14/2016
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0042655169
Enrollment ID: I20240228003969

Medical Identifiers

Medical identifiers for Nichole Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174984553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	C5248 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Porter allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nichole Porter, LPC 1108 Clinch St, Traverse City, MI 49686-4220 Ph: (541) 716-5320	Nichole Porter, LPC 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (541) 716-5320

Reviews and Comments

Counselor in Salem, OR

Miss Lena Yesowitch, BA PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Moyer Ln Nw, Salem, OR 97304 Phone: 415-902-6835
Tara Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2355 State St Ste 101, Salem, OR 97301 Phone: 971-599-3380
Rachael L De La Torre, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Ms. Tommie Mae Salas, MS/P, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 37th Ave Se, Salem, OR 97317 Phone: 503-983-0489 Fax: 503-585-0491
Mr. Thomas Wilson Dooley, MS,LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Liberty St Se, Salem, OR 97302 Phone: 503-951-6280 Fax: 503-468-3130
Lynda Raylene Conley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1599 State St, Salem, OR 97301 Phone: 503-363-3260
Rebekah Elizabeth Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Liberty St Ne Ste 2, Salem, OR 97301 Phone: 503-589-3112

Nichole Porter, LPC - Medicare Counselor in Salem, OR