TYRIKIA NICHOLLE PORTER (NPI# 1245705987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245705987 |
| Entity Type | Individual |
| Full Name | TYRIKIA NICHOLLE PORTER |
| Practice Address |
2803 Old North Hills St Meridian MS 39305-1630 |
| Mailing Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 6014532919 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2803 OLD NORTH HILLS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845014 | Camesha Mckinnis | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-08-01 |
| 1992346274 | Jacquelynne Teauna Lockett | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-10-08 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1669025557 | Pamela Drummond | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-07-19 |
| 1669942827 | Ashley Rue | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-11-30 |
| 1134694862 | Brierra Keyonna Smith | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1356821391 | Porchia Powe | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-08-20 |
| 1427566504 | Phyllis Felishaona Dean | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-01-11 |
| 1992216329 | Tyreeka Randolph | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-10-12 |
| 1164931556 | Annitnette Mcgill | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1972145308 | Sarah Barnes | Counselor | 2068 S Eagle Rd, Meridian, ID 83642-6707 | 2019-10-17 |
| 1033688007 | Garrett Kroon | Counselor | 3061 S Meridian Rd Ste 100, Meridian, ID 83642-7962 | 2018-11-19 |
| 1841778131 | Rikki Victoria Clemens Jensen | Counselor | 1985 N Monaco Way, Meridian, ID 83646-1302 | 2018-07-30 |
| 1477062248 | Kristen K French | Counselor | 1887 E Summerridge Dr, Meridian, ID 83646-5587 | 2017-09-25 |
| 1821462672 | Kimberly Beck | Counselor | 39 W. Pine Ave, Meridian, ID 83642 | 2015-11-17 |
| 1598188286 | Dwyla Wilson | Counselor | 5842 Mohawk Rd, Meridian, MS 39305-1367 | 2014-01-30 |
| 1467884627 | Jennifer L Smith | Counselor | 1865 N Lakes Pl, Meridian, ID 83646-1921 | 2013-07-30 |
| 1932407319 | Michele Anne Roeder | Counselor | 39 East State Avenue, Meridian, ID 83642 | 2011-03-08 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| Find all providers in MERIDIAN | ||||
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| 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.