Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Marie Porter

Individual provider Counselor · NPI 1124786819

Jessica Marie Porter is a Mental Health Counselor in South Pasadena, Florida. Qualified in 2014, 12 years ago. Registered with an NPI since 2021.

Years since qualifying
12
In the registry since
2021
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Practice location Address checks out

1846 Shore Dr S Unit 102
South Pasadena, FL 33707-4659
Phone: (126) 050-3913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1124786819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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