MS. MARY VIVIAN PORTER LCSW LPC
NPI 1700924016
Counselor - Professional in Flower Mound, TX
About Ms. Mary Vivian Porter Lcsw Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY VIVIAN PORTER LCSW LPC (NPI 1700924016) is an individual professional provider in Flower Mound, Texas, licensed in Texas (08339) and active in the NPI registry since February 2007. She has opted out of Medicare through March 14, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Mary Vivian Porter Lcsw Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 14, 2024 through March 14, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Porter's NPI number?
The NPI number for Mary Porter is 1700924016. It was assigned to this individual provider in the NPPES registry on February 1, 2007.
Where is Mary Porter located?
Mary Porter practices at 6021 Morriss Road Suite 110B, Flower Mound, TX 75028. The listed phone number is (972) 420-8834.
What is Mary Porter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Porter enrolled in Medicare?
No. Mary Porter has opted out of Medicare through March 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mary Porter was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Mary Vivian Porter, LCSW LPC · NPI 1700924016
Professional provider in Flower Mound, Texas. Individual provider, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1700924016 (Entity type: Individual)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 08339 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6021 MORRISS ROAD, SUITE 110B, Flower Mound, TX 75028-3764
- **Phone:** (972) 420-8834
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700924016) · Data from the CMS NPPES public registry.