Individual provider Active NPI

Katherine Portillo, M.ED., LCDC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • League City, TX
National Provider Identifier
1699223313
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12973 Issued in TX
Practice address
2555 S Shore Blvd Ste C
League City, TX 77573-2934
Phone
(281) 415-7941
Fax
(409) 750-2039
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12973 TX Primary

Addresses

Primary practice location

2555 S Shore Blvd Ste C
League City, TX 77573-2934

Mailing address

1284 Evening Bay LN
League City, TX 77573-9082
Phone (281) 415-7941

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

State licenses

LicenseStateTypeSpecialty
12973TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Chapter Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince May 1, 2022 Accepting new patients

Locations

2555 S Shore Blvd
Ste C
League City, TX 77573
Phone (832) 932-3530

Organizations & group practices 1

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1699223313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 EVENING BAY LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775739082",
            "telephone_number": "281-415-7941",
            "fax_number": "631-998-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S SHORE BLVD STE C",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732934",
            "telephone_number": "281-415-7941",
            "fax_number": "409-750-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "KATHERINE",
        "credential": "M.ED., LCDC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.