NPIMap

Individual provider Active NPI

Erika Lanette Portillo, M.ED, LMHP-R

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1003322652
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3541 Chain Bridge Rd Ste 204
Fairfax, VA 22030-2793
Phone
(703) 218-6599
Fax
(703) 218-2012
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3541 Chain Bridge Rd Ste 204
Fairfax, VA 22030-2793

Mailing address

3541 Chain Bridge Rd Ste 204
Fairfax, VA 22030-2793
Phone (703) 218-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services En Espanol LLC Mental Health Past Accepting new patients
Givpour Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aram.erikatrowell@155941.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1003322652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 CHAIN BRIDGE RD STE 204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302793",
            "telephone_number": "703-218-6599",
            "fax_number": "703-218-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 CHAIN BRIDGE RD STE 204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302793",
            "telephone_number": "703-218-6599",
            "fax_number": "703-218-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "ERIKA",
        "middle_name": "LANETTE",
        "credential": "M.ED, LMHP-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.