KENDRA PORTER MA
NPI 1598494635
Counselor - Professional in Grand Rapids, MN

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
1200 S POKEGAMA AVE STE 160, GRAND RAPIDS, MN 55744(218) 999-0051(218) 999-7020 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendra Porter Ma NPPES

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

KENDRA PORTER MA (NPI 1598494635) is an individual professional provider in Grand Rapids, Minnesota, licensed in Minnesota (02638) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598494635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDRA PORTERCredential: MA
Location Address1200 S POKEGAMA AVE STE 160Grand Rapids, MN 55744-4296
Mailing Address1200 S Pokegama Ave Ste 160Grand Rapids, MN 55744-4296 · (218) 999-0051 · Fax (218) 999-7020
Fax(218) 999-7020
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
NPI 1598494635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 02638
1200 S POKEGAMA AVE STE 160, Grand Rapids, MN 55744

Accepted 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

Kendra Porter Ma 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 ID1951740588
PECOS Enrollment IDI20240416002002
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.

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
1200 S POKEGAMA AVE STE 160
GRAND RAPIDS, MN 55744
Social Worker
1200 S POKEGAMA AVE STE 160
GRAND RAPIDS, MN 55744
Social Worker (Clinical)
1200 S POKEGAMA AVE STE 160
GRAND RAPIDS, MN 55744
Psychologist
1200 S POKEGAMA AVE STE 160
GRAND RAPIDS, MN 55744

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 Kendra Porter's NPI number?

The NPI number for Kendra Porter is 1598494635. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Kendra Porter located?

Kendra Porter practices at 1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744. The listed phone number is (218) 999-0051.

What is Kendra Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kendra Porter enrolled in Medicare?

Yes. Kendra 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.

What insurance does Kendra Porter accept?

Health plans from HealthPartners list Kendra 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 Kendra Porter was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.