Healthcare Provider Details

I. General information

NPI: 1295654143
Provider Name (Legal Business Name): FRANCES PORTE-NIMELY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 LINDALL ST
DANVERS MA
01923-2121
US

IV. Provider business mailing address

55 GARDEN RD APT A
PEABODY MA
01960-3044
US

V. Phone/Fax

Practice location:
  • Phone: 978-767-2847
  • Fax:
Mailing address:
  • Phone: 978-237-1816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: