KELLY DIANE PORTERFIELD (NPI# 1285962472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285962472 |
| Entity Type | Individual |
| Full Name | KELLY DIANE PORTERFIELD |
| Other Name | KELLY DIANE JORDAN |
| Credential | LPC |
| Practice Address |
3709 Parkmoor Village Dr Suite 105 Colorado Springs CO 80917-6252 |
| Practice Telephone | 7196480920 |
| Practice Fax Number | 7196359946 |
| Mailing Telephone | 7196480920 |
| Mailing Fax Number | 7196359946 |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5489 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 754938 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757198 | Kelly Porterfield | Occupational Therapist | 580 S San Vicente Blvd, Los Angeles, CA 90048-4621 | 2018-04-19 |
| Street Address |
3709 PARKMOOR VILLAGE DR SUITE 105 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-6252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538346135 | David Austin Lauritzen | Chiropractor | 3709 Parkmoor Village Dr, Suite 105, Colorado Springs, CO 80917-6252 | 2008-01-25 |
| 1285139220 | Family Connect Inc. | Clinic/Center | 3709 Parkmoor Village Dr, Colorado Springs, CO 80917-6252 | 2018-03-29 |
| 1609390053 | August Advice | Clinic/Center | 3709 Parkmoor Village Dr, Colorado Springs, CO 80917-6252 | 2017-07-27 |
| 1821538828 | Anne Farrell | Counselor | 3709 Parkmoor Village Dr, Colorado Springs, CO 80917-6252 | 2017-02-24 |
| 1508295890 | Valarie Bruno | Community/Behavioral Health | 3709 Parkmoor Village Dr, Colorado Springs, CO 80917-6252 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811904 | Cassondra Tina Marie Chagnon | Counselor | 6315 Council Pt Apt 204, Colorado Springs, CO 80923-5136 | 2020-11-05 |
| 1437759073 | Haley Marie Rosario | Counselor | 6535 Sam Houston Loop Apt D, Colorado Springs, CO 80902-4723 | 2020-10-30 |
| 1043819204 | Whitney Moore | Counselor | 5360 N Academy Blvd Ste 100, Colorado Springs, CO 80918-4006 | 2020-10-20 |
| 1013516392 | Step Forward Counseling Services | Counselor | 4145 Sudbury Rd, Colorado Springs, CO 80908-1336 | 2020-10-19 |
| 1306444393 | Anthonie Arend Van Zoeren | Counselor | 1257 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3561 | 2020-10-13 |
| 1093321804 | Michelle Vela | Counselor | 8444 Grand Peak Summit Vw, Colorado Springs, CO 80920-7158 | 2020-09-17 |
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1811501620 | Cheyenne Mountain Therapy, LLC | Counselor | 1767 S 8th St Ste 120, Colorado Springs, CO 80905-1972 | 2020-08-31 |
| 1437762838 | Tanya Davie | Counselor | 3110 Hudson St, Colorado Springs, CO 80910-2943 | 2020-08-25 |
| 1780296657 | Yhatisse Michelle Reynolds- Jones | Counselor | 6942 Bitterroot Dr, Colorado Springs, CO 80923-7328 | 2020-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on KELLY DIANE PORTERFIELD.
| 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.