MR. JEFFERY PORTER
NPI 1568823060
Social Worker - Clinical in Burley, ID

Q: What is Jeffery Porter's NPI number?

The NPI number for Jeffery Porter is 1568823060. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Q: What is Jeffery Porter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Porter was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since March 10, 2016PECOS Enrolled

1309 BENNETT AVE, BURLEY, ID 83318(208) 678-7796 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Mr. Jeffery Porter NPPES

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

MR. JEFFERY PORTER (NPI 1568823060) is an individual clinical provider in Burley, Idaho, licensed in Idaho (LCSW-37640) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568823060

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JEFFERY PORTER

Location Address1309 BENNETT AVEBurley, ID 83318-2676

Mailing Address2350 Oakley AveBurley, ID 83318-2924 · (208) 831-6631

Phone(208) 678-7796

Sole ProprietorYes

Enumeration DateMarch 10, 2016

Last NPPES UpdateJanuary 16, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1568823060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-37640

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1309 BENNETT AVE, Burley, ID 83318

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffery Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

FAMILY HEALTH SERVICES CORPORATION

Clinic/Center (Federally Qualified Health Center (FQHC))