Provider Demographics
NPI:1164219325
Name:PORTER, LAUREN RAE (MA, LPC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RAE
Last Name:PORTER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4154 SAN MARTIN WAY UNIT A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1430
Mailing Address - Country:US
Mailing Address - Phone:720-231-3758
Mailing Address - Fax:
Practice Address - Street 1:4154 SAN MARTIN WAY UNIT A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1430
Practice Address - Country:US
Practice Address - Phone:720-231-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHC.LH.61075649101YM0800X
COLPC.0005921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional