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PORTIA LATRICE REDDY LMFT
NPI 1912588492
Counselor - Mental Health in Lancaster, CA

Active since April 16, 2021PECOS Enrolled
567 W LANCASTER BLVD UNIT 10013, LANCASTER, CA 93584(818) 869-0029 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Apr 19, 2021, Apr 16, 2021 (3 updates tracked since 2021).

About Portia Latrice Reddy Lmft NPPES

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

PORTIA LATRICE REDDY LMFT (NPI 1912588492) is an individual mental health provider in Lancaster, California, licensed in California (98451) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912588492
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePORTIA LATRICE REDDYCredential: LMFT
Location Address567 W LANCASTER BLVD UNIT 10013Lancaster, CA 93584-7060
Mailing Address5661 Keith AveOakland, CA 94618-1542
Phone(818) 869-0029
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 16, 2021
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1912588492 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 CA · 98451
567 W LANCASTER BLVD UNIT 10013, Lancaster, CA 93584
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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)

Portia Latrice Reddy Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385136571
PECOS Enrollment IDI20251125001978
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

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

FUELING YOUR BRAIN FAMILY COUNSELING
Marriage & Family Therapist
567 W LANCASTER BLVD UNIT 10013
LANCASTER, CA 93584
Los Angeles County (818) 869-0029

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 Portia Reddy's NPI number?

The NPI number for Portia Reddy is 1912588492. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Portia Reddy located?

Portia Reddy practices at 567 W Lancaster Blvd Unit 10013, Lancaster, CA 93584. The listed phone number is (818) 869-0029.

What is Portia Reddy's specialty?

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

Is Portia Reddy enrolled in Medicare?

Yes. Portia Reddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Portia Reddy was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.