Jasmin Esmeralda Portillo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09929589 Issued in CO

Practice address

1455 Dixon Ave
Lafayette, CO 80026-8879

Phone

(720) 406-3625

NPI assigned

Oct 4, 2016

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Empowerment Collective PLLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1043042088
  NPD Authorized official
• Element of Discovery, LLC

  dba Therapist of Color Collaborative

  • Mental Health Counselor
  • Denver, CO
  • NPI 1548809908
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1295285195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 DRAKE ST",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805049761",
            "telephone_number": "720-771-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "720-406-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 S Parker Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802312163",
            "country_code": "US",
            "telephone_number": "303-881-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "JASMIN",
        "middle_name": "ESMERALDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09929589",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Polinkovsky, DDS
• Brianna Poole, RD
• Gabrielle Alyse Popovich
• Christopher James Porter
• Portercare Adventist Health System (PRLF PC Lafayette)
• Daniel Robert Possley, DO
• Jerica Alexandra Post, RN
• Posture Advanced Chiropractic
• Posture Advanced Chiropractic
• Andrea E.S. Potash, M.D.

• Clinical Social Worker in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.