Jacqueline N Portillo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

94-125-0809 Issued in CO

Practice address

1460 Perry St
Denver, CO 80204-1439

Phone

(303) 472-6221

NPI assigned

Apr 16, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1962065888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041439",
            "telephone_number": "303-472-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PERRY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041439",
            "telephone_number": "303-472-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "JACQUELINE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "94-125-0809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "104702318",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portercare Adventist Health System
• Portercare Adventist Hospital/Cenura Health
• Roxanne Marie Porterfield, RN
• Alicia Portillo, RN
• Herlinda Ruby Portillo
• Norman W Portnoy, PH.D.
• Portville Group
• Gabrielle Nicole Porzenski, DO
• Poseidon Therapy
• Posha Zubair LCSW, LLC

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.