Mrs Jessica Ann Port, PSYD, LPC, CCTP is a
Psychologist - Clinical based in Lancaster, Pennsylvania. Mrs Jessica Ann Port is licensed to practice in Pennsylvania (license number PS-020167) and her current practice location is
1831 Lititz Pike, Lancaster, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 391-6808.
NPI number for Mrs Jessica Ann Port is 1386280055 and her current mailing address is 1831 Lititz Pike, Lancaster, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386280055.
Healthcare Provider's Profile
| Full Name | Mrs Jessica Ann Port |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1831 Lititz Pike, Lancaster, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386280055
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 01/30/2026
Medical Identifiers
Medical identifiers for Mrs Jessica Ann Port such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386280055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | PC010683 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS-020167 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Ann Port is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jessica Ann Port, PSYD, LPC, CCTP 1831 Lititz Pike, Lancaster, PA 17601-6501 Ph: (717) 391-6808 | Mrs Jessica Ann Port, PSYD, LPC, CCTP 1831 Lititz Pike, Lancaster, PA 17601-6501 Ph: (717) 391-6808 |
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