Ebony Portis, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

61782 Issued in TX

Practice address

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone

(210) 617-5300

NPI assigned

Dec 19, 2017

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Elevated Counseling Services LLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1619548625
  NPD Authorized official
• Peace of Mind Mental Health and Wellness, LLC

  • Clinical Social Worker
  • Windcrest, TX
  • NPI 1902407638
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1902312515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 FOURWINDS DR STE 143",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391958",
            "telephone_number": "706-910-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8940 Fourwinds Dr Ste 143",
            "address_purpose": "LOCATION",
            "city": "Windcrest",
            "state": "TX",
            "postal_code": "782391958",
            "country_code": "US",
            "telephone_number": "210-446-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTIS",
        "first_name": "EBONY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "61782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Portillo Jr., MD
• Genesis Eunice Portillo, RBT
• Laura L Portillo, RN
• Olivia Rae Portillo, DNP, FNP-C
• Raul M Portillo, MD
• Michelle Ann Portis, CPNP-PC
• Stasie Portis
• Alberto Porto, LMT
• Reanna Posada Cano
• Sandra G Posada, MSW

• Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.