Active NPIIndividual providerSole proprietor

Jamel Porter

Counselor, Addiction (Substance Use Disorder) in Montclair, New Jersey

NPI Number1083175731
Practice location
460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552
Fax
—
Last updated
March 26, 2019

Jamel Porter is a Counselor, Addiction (Substance Use Disorder) based in Montclair, NJ. Jamel Porter practices in Montclair, NJ. The NPI Number for Jamel Porter is 1083175731 and holds a License No. 37LC20297700 (NJ). The current practice location address for Jamel Porter is 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552 and can be reached out via phone at 973-886-2798.

Provider Profile Details

NPI Number
1083175731
Provider Name
Jamel Porter
Provider Entity Type
Individual
Gender
Male
Address
460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552
Phone Number
973-886-2798
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2019
Last Update Date
March 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Bloomfield Ave Ste 209
Montclair, NJ 07042-3552
Zip
07042-3552
Phone Number
973-886-2798
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
125 Gates Ave Apt 17
Montclair, NJ 07042-2537
City
Montclair
State
NJ
Zip
07042-2537

License Information

License Number
37LC20297700
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Addiction (Substance Use Disorder) providers near Montclair, NJ

View all Counselor, Addiction (Substance Use Disorder) providers in Montclair →

Frequently Asked Questions

What is the NPI number of Jamel Porter?

The NPI number of Jamel Porter is 1083175731. It was assigned on March 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Jamel Porter?

Jamel Porter is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC20297700.

Where does Jamel Porter practice?

The practice location is 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552. The office can be reached at 973-886-2798 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083175731 directly on the NPPES registry website.

Browse related providers