MISS JESSICA BROOKE PORTER (NPI# 1003926098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003926098 |
| Entity Type | Individual |
| Full Name | MISS JESSICA BROOKE PORTER |
| Credential | B.S, FAODP |
| Practice Address |
1435 N Oakland Blvd Waterford MI 48327-1549 |
| Mailing Address |
1147 Ironwood Ct Apt 004 Rochester MI 48307-1261 |
| Practice Telephone | 2486662720 |
| Mailing Telephone | 2489090189 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123974 | Jessica Erin Porter | Registered Nurse | 3 Linda Ct, Longview, TX 75601-6060 | 2020-04-20 |
| 1730711359 | Jessica Danielle Porter | Case Manager/Care Coordinator | 421 W Airline Hwy Ste F, La Place, LA 70068-3820 | 2020-02-11 |
| 1538645338 | Jessica Nicole Porter | Adult Companion | 1345 Cross Creek Cir, Tallahassee, FL 32301-3729 | 2018-07-14 |
| 1619410800 | Jessica Porter | Registered Nurse | 8415 County Road 65, Foley, AL 36535-5005 | 2016-11-21 |
| 1629456611 | Jessica R Porter | Occupational Therapist | 193 Belle Valley Dr, Nashville, TN 37209-5151 | 2015-05-11 |
| 1083956163 | Jessica Amelia Porter | Internal Medicine | 724 Cresta Cir, West Palm Beach, FL 33413-1082 | 2013-03-26 |
| 1730420514 | Jessica Anne Ciarloni Porter | Marriage & Family Therapist | 602 Commerce Ave Ste E, Palmdale, CA 93551-3882 | 2013-03-05 |
| 1639304827 | Jessica Ann Porter | Counselor | 6011b Trotwood Avenue, Columbia, TN 38401 | 2009-05-18 |
| 1790307692 | Jessica Porter | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-05-13 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| Street Address |
1435 N OAKLAND BLVD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683700 | Jason Matthew Cubbin | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2006-08-30 |
| 1780202218 | Madison Hille | Social Worker | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2020-07-10 |
| 1578014940 | Community Programs, Inc. | Community/Behavioral Health | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-10-20 |
| 1396106225 | James Council Wickersham | Social Worker | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-21 |
| 1740641497 | Marylynn Gronow | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-09 |
| 1245691971 | James Edward Beall | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-08 |
| 1316307176 | Shawn Daniel Miller | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-07 |
| 1922466978 | Sarah Sloan | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-02-05 |
| 1689909921 | Kenneth Briggs | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2009-10-05 |
| 1598098147 | Community Programs, Inc. | Substance Abuse Rehabilitation Facility | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| Find all providers in WATERFORD | ||||
Please comment or provide details below to improve the information on MISS JESSICA BROOKE PORTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.