KENDRA PORTER MA NPI 1598494635

NPI Information

  • NPI: 1598494635
  • Provider Name: KENDRA PORTER, MA
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 S POKEGAMA AVE STE 160
    GRAND RAPIDS, MN
    ZIP 55744
  • Phone: (218) 999-0051

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NPI Details

Kendra Porter, MA is a professional counselor in Grand Rapids, MN with 6 years of experience. Kendra Porter, MA NPI is 1598494635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 S POKEGAMA AVE STE 160
GRAND RAPIDS, MN
ZIP 55744-296
Phone: (218) 999-0051
Fax: (218) 999-7020

The NPI 1598494635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional02638MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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