JESSE PORTILLO LPC
NPI 1962136879
Counselor - Professional in Wisconsin Rapids, WI

NPI Status: Active since July 15, 2022

Contact Information

1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 818-6465

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  • Individual
  • Male
  • Counselor
  • Professional
  • Accepts Insurance

About JESSE PORTILLO

This page provides the complete NPI Profile along with additional information for Jesse Portillo, a provider established in Wisconsin Rapids, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1962136879 assigned on July 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 11211-125 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1962136879
Provider Name
JESSE PORTILLO LPC
Gender
Male
Entity Type
Individual
Location Address
1191 HUNTINGTON AVE WISCONSIN RAPIDS, WI 54494
Location Phone
(715) 818-6465
Mailing Address
1191 HUNTINGTON AVE WISCONSIN RAPIDS, WI 54494
Mailing Phone
(715) 213-3570
Is Sole Proprietor?
Yes
Enumeration Date
07-15-2022
Last Update Date
07-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
11211-125
License State
WI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

20463-130 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • SimplyOne $2,000 - 25% - EPO
  • SimplyOne $3,500 - 30% - EPO
  • SimplyOne $4,000 - 50% - EPO
  • SimplyOne $5,000 HDHP - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962136879, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 2 + 3 + 1 + 2 + 8 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962136879.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Social Worker (Clinical)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Mental Health)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Social Worker
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Day Training, Developmentally Disabled Services
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Social Worker (Clinical)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962136879, enumerated as an "individual" on July 15, 2022.

The provider is located at 1191 HUNTINGTON AVE WISCONSIN RAPIDS, WI 54494 and the phone number is (715) 818-6465.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Providence. Please consult your insurance carrier or call the provider to verify.