JACQUELINE PORRAS
NPI 1588313621
Counselor - Mental Health in Brooklyn, NY

Q: What is Jacqueline Porras's NPI number?

The NPI number for Jacqueline Porras is 1588313621. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Jacqueline Porras'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 Jacqueline Porras was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 23, 2022PECOS Enrolled

2857 LINDEN BLVD, BROOKLYN, NY 11208(718) 235-3100 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jacqueline Porras NPPES

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

JACQUELINE PORRAS (NPI 1588313621) is an individual mental health provider in Brooklyn, New York, licensed in New York (016613-01) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588313621

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE PORRAS

Location Address2857 LINDEN BLVDBrooklyn, NY 11208-5126

Mailing Address2857 Linden BlvdBrooklyn, NY 11208-5126

Phone(718) 235-3100

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 23, 2022

Last NPPES UpdateDecember 18, 2025

NPPES CertifiedDecember 18, 2025

✔ NPI 1588313621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 016613-01

2857 LINDEN BLVD, Brooklyn, NY 11208

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Porras is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012418940

PECOS Enrollment IDI20250901000390

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 Jacqueline Porras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Psychotherapy And Counseling Center

4.8 mi

Community/Behavioral Health

17620 148TH AVE
Jamaica, NY 11434

Reassigned Medicare billing, New York enrollment
249 clinicians in this Medicare group

NPI 1902811342 (718) 553-1100

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.

NERO KEROLLE

Counselor (Mental Health)