MS. MARY GRACE PORTELL LPC
NPI 1013286996
Counselor - Professional in Saint Louis, MO

Q: What is Mary Grace Portell's NPI number?

The NPI number for Mary Grace Portell is 1013286996. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Q: What is Mary Grace Portell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since December 21, 2011PECOS Enrolled

4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108(314) 286-1700(314) 286-1777 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 23, 2023 and 2 more (5 updates tracked since 2021).

On this page

About Ms. Mary Grace Portell Lpc NPPES

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

MS. MARY GRACE PORTELL LPC (NPI 1013286996) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2008013971) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013286996

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MARY GRACE PORTELLCredential: LPC

Location Address4444 FOREST PARK AVE, STE 2600Saint Louis, MO 63108-2212

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1700 · Fax (314) 286-1777

Phone(314) 286-1700

Fax(314) 286-1777

Sole ProprietorNo

Enumeration DateDecember 21, 2011

Last NPPES UpdateApril 17, 20255 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1013286996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2008013971

4444 FOREST PARK AVE, Saint Louis, MO 63108

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Other Identifiers 1

Medicaid490002574MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Grace Portell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Grace Portell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University

0.4 mi

Multi-Specialty

660 S EUCLID AVE
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
148 clinicians in this Medicare group

NPI 1003856592 (314) 362-5184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA TEREESE JIMENEZ MD

Obstetrics & Gynecology (Reproductive Endocrinology)

4444 FOREST PARK AVE, DIV OB REPRODUCTIVE ENDOCRINOLOGY, STE 3100
SAINT LOUIS, MO 63108

St. Louis City (314) 286-2400

DR. DANIELLE BUCHANAN IVIE DPT

Physical Therapist

4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1940

MRS. PATRICIA K NELLIS OT

Occupational Therapist

4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1669

DR. KELLY N BOTTERON MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

DR. ROBERT P FUCETOLA PHD

Clinical Neuropsychologist

4444 FOREST PARK AVE, DIV NEUROPSYCHOLOGY, 2ND FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-1408

MS. CHERYL L KLOHR MS OT

Occupational Therapist

4444 FOREST PARK AVE
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5079

MS. BRIDGET O OCHUKO DPT

Physical Therapist

4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1940

MS. BROOKE MARIE ANDERSON PMHNP

Psychiatry & Neurology (Child & Adolescent Psychiatry)

4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

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 Mary Grace Portell's NPI number?

The NPI number for Mary Grace Portell is 1013286996. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Mary Grace Portell located?

Mary Grace Portell practices at 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108. The listed phone number is (314) 286-1700.

What is Mary Grace Portell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Grace Portell enrolled in Medicare?

Yes. Mary Grace Portell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Grace Portell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grace Portell reassigns Medicare benefits to Washington University (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Grace Portell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Grace Portell accept?

Health plans from Oscar Insurance Company list Mary Grace Portell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Grace Portell was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.