LAURA GUSTAFSON PORTER PHD
NPI 1720087901
Psychologist - Clinical in Talbott, TN

Q: What is Laura Porter's NPI number?

The NPI number for Laura Porter is 1720087901. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Laura Porter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Laura Porter was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment

6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877(423) 587-7337(423) 588-0614 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Laura Gustafson Porter Phd NPPES

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

LAURA GUSTAFSON PORTER PHD (NPI 1720087901) is an individual clinical provider in Talbott, Tennessee, licensed in Tennessee (P2546) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1720087901

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLAURA GUSTAFSON PORTERCredential: PHD

Location Address6350 W ANDREW JOHNSON HWYTalbott, TN 37877-8605

Mailing Address6350 W Andrew Johnson Hwy Dept 100Talbott, TN 37877-8605 · (800) 355-3565 · Fax (423) 714-2355

Phone(423) 587-7337

Fax(423) 588-0614

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 19, 2005

Last NPPES UpdateNovember 30, 2017

✔ NPI 1720087901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in TN · P2546✔ Licensed in TN · 2546(PROVISIONAL)

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6350 W ANDREW JOHNSON HWY, Talbott, TN 37877

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Other Identifiers 2

Medicare ID-Type Unspecified3981441TN

Medicaid3981441TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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

Laura Gustafson Porter Phd 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 ID5294788931

PECOS Enrollment IDI20050223000077

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 37877 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 20

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

MONSERRATH RAMOS PEREZ

Nurse's Aide