LAURA DANIELA PORTILLO (NPI# 1578174066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578174066 |
| Entity Type | Individual |
| Full Name | LAURA DANIELA PORTILLO |
| Practice Address |
307 2nd Ave San Mateo CA 94401-3905 |
| Practice Telephone | 6502043842 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 119690 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AMFT NUMBER | 119690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| Street Address |
307 2ND AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376817270 | Renee M Finnicum | Counselor | 307 2nd Ave, San Mateo, CA 94401-3905 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1114454402 | Ligia S Hernandez | Counselor | 126 W 25th Ave Unit 202, San Mateo, CA 94403-2208 | 2017-05-17 |
| 1669928214 | Jacqueline Alexandria Santana | Counselor | 126 W 25th Ave Ste 200, San Mateo, CA 94403-2208 | 2016-09-01 |
| 1497196984 | William Charles Cotter | Counselor | 113 Valley View Dr, San Mateo, FL 32187-2100 | 2013-07-11 |
| 1083925804 | Michael Seligson | Counselor | 3 Waters Park Dr Ste 200, San Mateo, CA 94403-1149 | 2010-06-25 |
| 1740511807 | Adrienne Gatan | Counselor | 1720 S Amphlett Blvd Ste 110, San Mateo, CA 94402-2710 | 2010-01-28 |
| 1013145291 | Marcos H. Chacon Jr. | Counselor | 2001 Winward Way Ste 200, San Mateo, CA 94404-4019 | 2009-06-26 |
| 1306002050 | Peggy Chingin Kwok | Counselor | 1950 Alameda De La Pulgas, San Mateo, CA 94403 | 2008-08-01 |
| 1821261785 | Jessica Escobedo | Counselor | 1720 S Amphlett Blvd Ste 123, San Mateo, CA 94402-2710 | 2008-04-10 |
| 1962615641 | Lydia Jones | Counselor | 136 N. San Mateo Drive, Suite 101, San Mateo, CA 94401 | 2007-05-08 |
| Find all providers in SAN MATEO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.