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

Active since July 15, 2022
1191 HUNTINGTON AVE, WISCONSIN RAPIDS, WI 54494(715) 818-6465 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Jul 26, 2024, Jul 15, 2022 (3 updates tracked since 2022).

About Jesse Portillo Lpc NPPES

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

JESSE PORTILLO LPC (NPI 1962136879) is an individual professional provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (11211-125) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1962136879
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESSE PORTILLOCredential: LPC
Location Address1191 HUNTINGTON AVEWisconsin Rapids, WI 54494-6364
Mailing Address1191 Huntington AveWisconsin Rapids, WI 54494-6364 · (715) 213-3570
Phone(715) 818-6465
Sole ProprietorYes
Enumeration DateJuly 15, 2022
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1962136879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11211-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20463-130 (WI)
1191 HUNTINGTON AVE, Wisconsin Rapids, WI 54494
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

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

OPPORTUNITY DEVELOPMENT CENTERS, INC.
Day Training, Developmentally Disabled Services
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 424-2750
SARAH MARY TOMPKINS LPC-IT
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 818-6443
TRINA D HOWARD LCSW
Social Worker (Clinical)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 818-6443
CHRISTOPHER SCOTT GOETSCH
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 818-6443
LAKYN LLOYD LPC
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 340-6970
CHRISTINE I HANTEN LCSW
Social Worker (Clinical)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 424-2712
MICHELE LOSEY LPC-IT
Counselor
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 818-6489
TONYA LYN KRUEGER CALLAHAN MS CRC LPC
Counselor (Professional)
1191 HUNTINGTON AVE
WISCONSIN RAPIDS, WI 54494
Wood County (715) 570-8345

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 Jesse Portillo's NPI number?

The NPI number for Jesse Portillo is 1962136879. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Jesse Portillo located?

Jesse Portillo practices at 1191 Huntington Ave, Wisconsin Rapids, WI 54494. The listed phone number is (715) 818-6465.

What is Jesse Portillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jesse Portillo accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and Security Health Plan list Jesse Portillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Portillo was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.