HOLLY LYN PORTER MA
NPI 1922614882
Counselor - Professional in Lakewood, CO
About Holly Lyn Porter Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY LYN PORTER MA (NPI 1922614882) is an individual professional provider in Lakewood, Colorado, licensed in Colorado (LPC.0015618) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Lyn Porter Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wheat Ridge, CO 80033
- Reassigned Medicare billing, Colorado enrollment
- 276 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LAKEWOOD, CO 80228
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 Holly Porter's NPI number?
The NPI number for Holly Porter is 1922614882. It was assigned to this individual provider in the NPPES registry on September 16, 2020.
Where is Holly Porter located?
Holly Porter practices at 12055 W 2nd Pl, Lakewood, CO 80228. The listed phone number is (720) 655-8654.
What is Holly Porter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Holly Porter enrolled in Medicare?
Yes. Holly Porter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Porter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Porter reassigns Medicare benefits to Jefferson Center For Mental Health (Wheat Ridge, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Holly Porter was last updated on April 2, 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.
# Holly Lyn Porter, MA · NPI 1922614882
Professional provider in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1922614882 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.0015618 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 12055 W 2ND PL, Lakewood, CO 80228-1506
- **Phone:** (720) 655-8654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Jefferson Center For Mental Health (NPI 1154403798, Wheat Ridge, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922614882) · Data from the CMS NPPES public registry.