MR. RAFAEL JORGE PORTILLA M.A.
NPI 1942496187
Counselor - Mental Health in Harrisburg, PA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 21, 2007PECOS Enrolled

1100 S CAMERON ST, HARRISBURG, PA 17104(717) 238-7662 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Rafael Jorge Portilla M.a. NPPES

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

MR. RAFAEL JORGE PORTILLA M.A. (NPI 1942496187) is an individual mental health provider in Harrisburg, Pennsylvania and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1942496187

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. RAFAEL JORGE PORTILLACredential: M.A.

Location Address1100 S CAMERON STHarrisburg, PA 17104-2547

Mailing Address1100 S Cameron StHarrisburg, PA 17104-2547 · (717) 238-7662

Phone(717) 238-7662

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 21, 2007

✔ NPI 1942496187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1100 S CAMERON ST, Harrisburg, PA 17104

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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)

Mr. Rafael Jorge Portilla M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355884776

PECOS Enrollment IDI20240613002658

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.