JENNIFER LYNN PORTER LCSW
NPI 1962889477
Social Worker - Clinical in Kellogg, ID

Q: What is Jennifer Porter's NPI number?

The NPI number for Jennifer Porter is 1962889477. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Jennifer Jackson Lsw.

Q: What is Jennifer Porter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Porter was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment

740 MCKINLEY AVE, KELLOGG, ID 83837(208) 783-1267(844) 807-3782 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, May 2, 2023, Jun 6, 2019 (3 updates tracked since 2019).

On this page

About Jennifer Lynn Porter Lcsw NPPES

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

JENNIFER LYNN PORTER LCSW (NPI 1962889477) is an individual clinical provider in Kellogg, Idaho, licensed in Idaho (LCSW-43510) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962889477

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNN PORTERCredential: LCSW

Location Address740 MCKINLEY AVEKellogg, ID 83837-2693

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 783-1267 · Fax (844) 807-3782

Phone(208) 783-1267

Fax(844) 807-3782

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 4, 2015

Last NPPES UpdateMay 11, 20263 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1962889477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-43510

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

740 MCKINLEY AVE, Kellogg, ID 83837

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Other Names 1

Former Name (1)Jennifer Jackson Lsw

Secondary Practice Locations 2

Location 1858 Commerce DriveSmelterville, ID 83868 · Phone (208) 784-4612

Location 22205 Ironwood Place, Ste A/BCoeur d Alene, ID 83814-2785 · Phone (208) 664-8347 · Fax (208) 664-9217

Other Identifiers 2

Medicaid1962889477ID

Medicaid2113084WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynn Porter Lcsw 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 ID5799140265

PECOS Enrollment IDI20230505001566

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoshone Medical Center

0.6 mi

Critical Access

25 JACOBS GULCH RD
Kellogg, ID 83837

Reassigned Medicare billing, Idaho enrollment
60 clinicians in this Medicare group

NPI 1043215437 (208) 784-7017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83837 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

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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.

FOOT AND ANKLE CLINIC OF SPOKANE INC

Durable Medical Equipment & Medical Supplies