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

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: November 01, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nichole Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
201 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARA FISHER
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (424) 431-1018
NIRIT STEPHENS
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (808) 796-9632
BEYOUNKA BONNER
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (470) 992-2796
LORINDA LEE SANDERS LCSW
Social Worker (Clinical)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (208) 550-0834
LAUREN MULLINS
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 928-6778
JORDIN DANIELSON
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (971) 202-1269
KOSMOS PSYCHOLOGY
Psychologist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 714-1144
JADE LA BRIE
Health and Wellness Coach
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 812-5638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Porter's NPI number?

The NPI number for Nichole Porter is 1174984553. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Nichole Porter located?

Nichole Porter practices at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (541) 716-5320.

What is Nichole Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nichole Porter enrolled in Medicare?

Yes. Nichole Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nichole Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Porter reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nichole Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Porter accept?

Health plans from Moda Health Plan, Inc. list Nichole Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nichole Porter was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.