Individual provider · Type 1 NPI

Jason Michael Porter, LPCC

Mental Health Counselor · Woodbury, MN

NPI number 1336760750 Active

Practice location

724 Bielenberg Dr # 108
Woodbury, MN 55125-2620

Call (612) 670-1742 Map

Fax (651) 390-6289

Mailing address

4718 Ordell Trl N
Stillwater, MN 55082-7510

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC02451 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1336760750

Jason Michael Porter, LPCC's National Provider Identifier is 1336760750, issued on Apr 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Sep 5, 2026.