Miriam Lizeth Flores Portillo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2000 W Briggsmore Ave
Modesto, CA 95350-3839

Phone

(209) 526-1476

NPI assigned

Aug 5, 2021

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

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 and National Provider Directory roles.

• Center for Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patterson, CA
  • NPI 1194858076
  NPD
• Building Bridges Foster Family Agency

  • Foster Care Agency
  • Rancho Cucamonga, CA
  • NPI 1306322896
  NPD (past)
• Building Bridges Foster Family Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ontario, CA
  • NPI 1336809466
  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1699449256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 CHATKA LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102000",
            "telephone_number": "909-264-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BRIGGSMORE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503839",
            "telephone_number": "209-526-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES PORTILLO",
        "first_name": "MIRIAM",
        "middle_name": "LIZETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Flora
• Efraim Sanson Florendo, DDS
• Migdalia Flores Bello
• Mercy Flores Isaac, LMFT
• Annai Flores Nunez
• Elisa Flores Quintero
• Jennifer Fernanda Flores Valadez
• Karina Leticia Flores-Conolley
• Vanessa Flores-Guerrero
• Sandra Flores-Watts

• All providers in Modesto, CA
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.