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ANTONIA JO LYNN PORTER MASTER OF SCIENCE
NPI 1730437336
Counselor - Professional in Bluefield, VA

Active since August 29, 2012
546 VIRGINIA AVE, BLUEFIELD, VA 24605(305) 432-1672 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2021, Mar 19, 2019 (2 updates tracked since 2019).

About Antonia Jo Lynn Porter Master Of Science NPPES

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

ANTONIA JO LYNN PORTER MASTER OF SCIENCE (NPI 1730437336) is an individual professional provider in Bluefield, Virginia, licensed in Virginia (0701010316) and active in the NPI registry since August 2012. She maintains a secondary practice location in Princeton.

NPPES Registry Identity

NPI1730437336
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANTONIA JO LYNN PORTERCredential: MASTER OF SCIENCE
Location Address546 VIRGINIA AVEBluefield, VA 24605-1729
Mailing Address546 Virginia AveBluefield, VA 24605-1729 · (305) 432-1672
Phone(305) 432-1672
Sole ProprietorYes
Enumeration DateAugust 29, 2012
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1730437336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in VA · 0701010316✔ Licensed in WV · 2032
546 VIRGINIA AVE, Bluefield, VA 24605
Open in Google Maps ↗

Secondary Practice Location 1

Location 1109 Thorn St Ste B-3Princeton, WV 24740 · Phone (304) 960-9515

Other Identifiers 2

Medicaid0005489002WV
Medicaid0005489001WV

Other Providers at the Same Location NPPES 2

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

BRAIN MATTERS THERAPY, PLLC
Counselor (Professional)
546 VIRGINIA AVE
BLUEFIELD, VA 24605
Tazewell County (276) 970-9747
BRAIN MATTERS THERAPY, PLLC
Counselor (Professional)
546 VIRGINIA AVE
BLUEFIELD, VA 24605
Tazewell County (276) 970-9747

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 Antonia Porter's NPI number?

The NPI number for Antonia Porter is 1730437336. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Antonia Porter located?

Antonia Porter practices at 546 Virginia Ave, Bluefield, VA 24605. The listed phone number is (305) 432-1672.

What is Antonia Porter's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonia Porter was last updated on August 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.