Porters Headspace
NPI 1790477180 · Clinical Social Worker · Flint, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Porters Headspace is a Clinical Social Worker organization in Flint, MI (NPI 1790477180).
Provider details
- NPI number
- 1790477180
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rebecca Porter, Owner(810) 293-5063
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Frequently asked questions
- What is Porters Headspace's NPI number?
- Porters Headspace's National Provider Identifier (NPI) is 1790477180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Porters Headspace?
- Porters Headspace is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Porters Headspace located?
- Porters Headspace's practice location on file with NPPES is 4212 Lennon Rd Ste 1, Flint, MI 48507-1080.
- What is Porters Headspace's phone number?
- The practice phone number listed in the NPPES registry for Porters Headspace is (810) 293-5063.
- Does Porters Headspace accept Medicare?
- Porters Headspace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Porters Headspace?
- The authorized official listed on Porters Headspace's NPPES record is Rebecca Porter, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Porters Headspace's NPI active?
- Yes — Porters Headspace's NPI (1790477180) is active in the NPPES registry as of the last update on 2023-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.