WILLIAM DOUGLAS PORTIS LCPC CADC
NPI 1003316720
Counselor - Mental Health in Bloomington, IL

Q: What is William Portis's NPI number?

The NPI number for William Portis is 1003316720. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is William Portis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for William Portis was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2018

808 S ELDORADO RD STE 100C, BLOOMINGTON, IL 61704(309) 889-6222 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2020, Feb 19, 2018 (2 updates tracked since 2018).

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About William Douglas Portis Lcpc Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM DOUGLAS PORTIS LCPC CADC (NPI 1003316720) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180012458) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1003316720

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameWILLIAM DOUGLAS PORTISCredential: LCPC CADC

Location Address808 S ELDORADO RD STE 100CBloomington, IL 61704-6075

Mailing Address1 Plantation CtBloomington, IL 61704-9467 · (309) 889-6222

Phone(309) 889-6222

Sole ProprietorYes

Enumeration DateFebruary 19, 2018

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1003316720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in IL · 180012458✔ Licensed in IL · 178.009416

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 33398 (IL)

808 S ELDORADO RD STE 100C, Bloomington, IL 61704

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Portis's NPI number?

The NPI number for William Portis is 1003316720. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is William Portis located?

William Portis practices at 808 S Eldorado Rd Ste 100C, Bloomington, IL 61704. The listed phone number is (309) 889-6222.

What is William Portis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for William Portis was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.