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JENNIFER PORTILLO
NPI 1891264891
Marriage & Family Therapist in La Habra, CA

Active since November 19, 2018PECOS Enrolled
601 E IMPERIAL HWY, LA HABRA, CA 90631(714) 644-6480 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2022, Nov 19, 2018 (2 updates tracked since 2018).

About Jennifer Portillo NPPES

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

JENNIFER PORTILLO (NPI 1891264891) is an individual marriage & family therapist in La Habra, California, licensed in California (99515) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891264891
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER PORTILLO
Location Address601 E IMPERIAL HWYLa Habra, CA 90631-7463
Mailing Address601 E Imperial HwyLa Habra, CA 90631-7463 · (714) 644-6480
Phone(714) 644-6480
Sole ProprietorYes
Enumeration DateNovember 19, 2018
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1891264891 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 · 99515
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.
601 E IMPERIAL HWY, La Habra, CA 90631
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Portillo 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.

Other Providers at the Same Location NPPES 5

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

SALLEY LEE DO
Family Medicine
601 E IMPERIAL HWY
LA HABRA, CA 90631
Orange County (833) 574-2273
KHANH NGOC BAO HUA
Marriage & Family Therapist
601 E IMPERIAL HWY
LA HABRA, CA 90631
Orange County (714) 644-6480
NATALIE GOWERN
Marriage & Family Therapist
601 E IMPERIAL HWY
LA HABRA, CA 90631
Orange County (714) 644-6480
STEPHANIE VUONG NGUYEN
Social Worker (Clinical)
601 E IMPERIAL HWY, STE 140
LA HABRA, CA 90631
Orange County (714) 644-6480
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
601 E IMPERIAL HWY, 1ST FL
LA HABRA, CA 90631
Orange County (714) 213-7201

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 Jennifer Portillo's NPI number?

The NPI number for Jennifer Portillo is 1891264891. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Jennifer Portillo located?

Jennifer Portillo practices at 601 E Imperial Hwy, La Habra, CA 90631. The listed phone number is (714) 644-6480.

What is Jennifer Portillo's specialty?

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

Is Jennifer Portillo enrolled in Medicare?

Yes. Jennifer Portillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Portillo was last updated on October 28, 2022. 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.