MRS. MARY LOUISE HERNDON PORCH (NPI# 1720400120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720400120 |
| Entity Type | Individual |
| Full Name | MRS. MARY LOUISE HERNDON PORCH |
| Other Name | MISS MARY LOUISE HERNDON |
| Credential | C.R.C., L.P.C.A |
| Practice Address |
3801 Lake Boone Trl Suite 100 Raleigh NC 27607-2934 |
| Mailing Address |
3112 Wilder St Raleigh NC 27607-5228 |
| Practice Telephone | 9197849182 |
| Mailing Telephone | 3366864249 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A10480 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427107895 | Mary Catherine Porch | Nurse Practitioner | 56 Starbrush Cir, Covington, LA 70433-7208 | 2007-01-08 |
| Street Address |
3801 LAKE BOONE TRL SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847229 | Easter Seals Ucp Asap Inc | Clinic/Center | 3801 Lake Boone Trl, Suite 320, Raleigh, NC 27607-2934 | 2006-07-05 |
| 1669862157 | Megan P Denis | Counselor | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2015-02-04 |
| 1811387657 | Cathy Donohue | Social Worker | 3801 Lake Boone Trl, Suite #150, Raleigh, NC 27607-2934 | 2015-02-02 |
| 1306275953 | Erin Terry | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-11-04 |
| 1609208875 | Kimberly Ann Smitley | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-07-30 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1992141931 | Catherine Maureen Pleil | Social Worker | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2013-05-16 |
| 1295171593 | Leah Johanna Graham | Counselor | 3801 Lake Boone Trl, Suite 200, Raleigh, NC 27607-2934 | 2013-05-14 |
| 1720324536 | Easter Seals Ucp North Carolina & Virginia | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2012-12-26 |
| 1154666576 | Eric James Kelly | Social Worker | 3801 Lake Boone Trl, Suite 150, Raleigh, NC 27607-2934 | 2012-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
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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.