MR. JONATHAN MICHAEL PORTILLO LPC
NPI 1972226793
Counselor - Professional in Broomfield, CO

Q: What is Jonathan Portillo's NPI number?

The NPI number for Jonathan Portillo is 1972226793. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Q: What is Jonathan Portillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Portillo was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 26, 2022PECOS Enrolled

80 GARDEN CTR STE 48, BROOMFIELD, CO 80020(720) 336-0675 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Jonathan Michael Portillo Lpc NPPES

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

MR. JONATHAN MICHAEL PORTILLO LPC (NPI 1972226793) is an individual professional provider in Broomfield, Colorado, licensed in Colorado (LPC.0018678) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972226793

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JONATHAN MICHAEL PORTILLOCredential: LPC

Location Address80 GARDEN CTR STE 48Broomfield, CO 80020-1777

Mailing Address12609 Zuni St Apt 304Broomfield, CO 80020-3825 · (480) 206-5524

Phone(720) 336-0675

Sole ProprietorNo

Enumeration DateSeptember 26, 2022

NPPES CertifiedSeptember 26, 2022

✔ NPI 1972226793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0018678

80 GARDEN CTR STE 48, Broomfield, CO 80020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Michael Portillo Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Portillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC

13 mi

Clinical

1738 WYNKOOP ST STE 303
Denver, CO 80202

Reassigned Medicare billing, Colorado enrollment
940 clinicians in this Medicare group

NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jonathan Portillo's NPI number?

The NPI number for Jonathan Portillo is 1972226793. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Jonathan Portillo located?

Jonathan Portillo practices at 80 Garden Ctr Ste 48, Broomfield, CO 80020. The listed phone number is (720) 336-0675.

What is Jonathan Portillo's specialty?

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

Is Jonathan Portillo enrolled in Medicare?

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

Which organization bills Medicare for Jonathan Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Portillo reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Portillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Portillo accept?

Health plans from Oscar Insurance Company list Jonathan 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 Jonathan Portillo was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.