NICHOLE PORTER LPC
NPI 1174984553
Counselor - Mental Health in Salem, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment

2355 STATE ST STE 101, SALEM, OR 97301(541) 716-5320(541) 255-0941 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nichole Porter Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE PORTER LPC (NPI 1174984553) is an individual mental health provider in Salem, Oregon, licensed in Oregon (C5248) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174984553

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICHOLE PORTERCredential: LPC

Location Address2355 STATE ST STE 101Salem, OR 97301-4541

Mailing Address1108 Clinch StTraverse City, MI 49686-4220 · (541) 716-5320 · Fax (541) 255-0941

Phone(541) 716-5320

Fax(541) 255-0941

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 14, 2016

Last NPPES UpdateFebruary 13, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1174984553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C5248

2355 STATE ST STE 101, Salem, OR 97301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nichole Porter Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42655169

PECOS Enrollment IDI20240228003969

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.