Rafael Jorge Portilla, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1100 S Cameron St
Harrisburg, PA 17104-2547

Phone

(717) 238-7662

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T.W. Ponessa and Associates Counseling Services, Inc.Group PAC ID 7810991924, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• T.W. Ponessa & Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1053341859
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1942496187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042547",
            "telephone_number": "717-238-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042547",
            "telephone_number": "717-238-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLA",
        "first_name": "RAFAEL",
        "middle_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenchu R Popuri, RPH
• Angsupat Pornchai, MD
• Lauren Christina Portas, MD
• Albert Roberts Porter, MD
• Ryan Porter
• Ilana Portman
• Crystal Porto
• Posey's Home Healthcare Agency
• Courtney Alexis Potteiger, DO
• Lizabeth Ann Potter, MD

• Mental Health Counselor in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.