ELIZABETH PORTER
NPI 1922496702
Counselor in Shelby Township, MI

Q: What is Elizabeth Porter's NPI number?

The NPI number for Elizabeth Porter is 1922496702. It was assigned to this individual provider in the NPPES registry on January 2, 2015.

Q: What is Elizabeth Porter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Porter was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 02, 2015PECOS EnrolledAccepts Medicare Assignment

8072 21 MILE RD, SHELBY TOWNSHIP, MI 48317(586) 932-2700(586) 932-2705 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Porter NPPES

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

ELIZABETH PORTER (NPI 1922496702) is an individual counselor in Shelby Township, Michigan, licensed in Michigan (6401010305) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton Township, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2006).

NPPES Registry Identity

NPI1922496702

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameELIZABETH PORTER

Location Address8072 21 MILE RDShelby Township, MI 48317-4310

Mailing Address8072 21 Mile RdShelby Township, MI 48317-4310 · (586) 932-2700 · Fax (586) 932-2705

Phone(586) 932-2700

Fax(586) 932-2705

Sole ProprietorYes

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2006

Enumeration DateJanuary 2, 2015

Last NPPES UpdateMay 28, 2019

✔ NPI 1922496702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401010305

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License SC0000622 (MI)

8072 21 MILE RD, Shelby Township, MI 48317

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Secondary Practice Location 1

Location 120855 S Miles StClinton Township, MI 48036-1951 · Phone (586) 215-0376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Elizabeth Porter 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 ID5799189429

PECOS Enrollment IDI20240118002434

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 7

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

LAKESIDE PROFESSIONAL COUNSELING, P.C.

Counselor (Mental Health)