ERIKA LANETTE PORTILLO


Address: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030-2793
Phone: 7032186599

ERIKA LANETTE PORTILLO (NPI# 1003322652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003322652
Entity Type Individual
Full Name ERIKA LANETTE PORTILLO
Credential M.ED, LMHP-R
Practice Address 3541 Chain Bridge Rd Ste 204
Fairfax
VA 22030-2793
Practice Telephone 7032186599
Practice Fax Number 7032182012
Mailing Telephone 7032186599
Mailing Fax Number 7032182012
Enumeration Date 2017-12-19
Last Update Date 2017-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers ERIKA PORTILLO

NPI Name Taxonomy Address Enumeration
1497044887 Erika Elizabeth Portillo Case Manager/Care Coordinator 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040-1200 2011-04-06
1508068073 Erika L Portillo Counselor 11523 C Ave, Auburn, CA 95603-2703 2007-06-05

Office Location

Street Address 3541 CHAIN BRIDGE RD STE 204
City FAIRFAX
State VA
Zip Code 22030-2793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770949778 Leticia Flores De Basauri Social Worker 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030-2793 2016-01-06
1851876940 Crissy Starr Ryun Behavioral Analyst 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 2018-09-25
1487160230 Van Nguyen Counselor 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030-2793 2017-12-15
1508372368 Sasha R Yazdgerdi Behavioral Analyst 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030-2793 2017-12-15
1588186464 Chelsea Thomas Behavioral Analyst 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 2017-07-12

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1487119707 Abdelwahab Eltayeb Elsirag Counselor 12587 Fair Lakes Cir Ste 303, Fairfax, VA 22033-3822 2019-02-01
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

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.

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