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CARLY PORTILLO
NPI 1306529615
Marriage & Family Therapist in Costa Mesa, CA

Active since August 11, 2023
2651 IRVINE AVE STE 122, COSTA MESA, CA 92627(714) 507-6884 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly Portillo NPPES

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

CARLY PORTILLO (NPI 1306529615) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (127855) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1306529615
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARLY PORTILLO
Location Address2651 IRVINE AVE STE 122Costa Mesa, CA 92627-6645
Mailing Address2651 Irvine Ave Ste 122Costa Mesa, CA 92627-6645 · (714) 507-6884
Phone(714) 507-6884
Sole ProprietorNo
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1306529615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 127855
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2651 IRVINE AVE STE 122, Costa Mesa, CA 92627
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Other Providers at the Same Location NPPES 3

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

KATHRYN MARIE KAUFMAN CNMT
Massage Therapist
2651 IRVINE AVE STE 122
COSTA MESA, CA 92627
Orange County (562) 972-7800
ALFRED BOWEN JR.
Massage Therapist
2651 IRVINE AVE STE 122
COSTA MESA, CA 92627
Orange County (214) 669-0424
KELLY ROYERE
Marriage & Family Therapist
2651 IRVINE AVE STE 122
COSTA MESA, CA 92627
Orange County (949) 257-2695

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 Carly Portillo's NPI number?

The NPI number for Carly Portillo is 1306529615. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Carly Portillo located?

Carly Portillo practices at 2651 Irvine Ave Ste 122, Costa Mesa, CA 92627. The listed phone number is (714) 507-6884.

What is Carly Portillo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Carly Portillo was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.