THERESA PORTER RADT
NPI 1659138147
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA

Active since March 01, 2024
1225 TRAVIS BLVD, FAIRFIELD, CA 94533(707) 399-9105 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Porter Radt NPPES

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

THERESA PORTER RADT (NPI 1659138147) is an individual addiction (substance use disorder) provider in Fairfield, California, licensed in California (R1518650823) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1659138147
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTHERESA PORTERCredential: RADT
Location Address1225 TRAVIS BLVDFairfield, CA 94533-4892
Mailing Address609 Jefferson StFairfield, CA 94533-6293 · (916) 759-3023
Sole ProprietorNo
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
NPI 1659138147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1518650823
1225 TRAVIS BLVD, Fairfield, CA 94533

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Dentist (General Practice)
1225 TRAVIS BLVD, STE. B
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
1225 TRAVIS BLVD
FAIRFIELD, CA 94533

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 Theresa Porter's NPI number?

The NPI number for Theresa Porter is 1659138147. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Theresa Porter located?

Theresa Porter practices at 1225 Travis Blvd, Fairfield, CA 94533. The listed phone number is (707) 399-9105.

What is Theresa Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theresa Porter was last updated on March 1, 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.