Mr Jonathan Michael Portillo, LPC in Broomfield, CO

Mr Jonathan Michael Portillo, LPC is a medicare enrolled "Counselor - Professional" provider in Broomfield, Colorado. His current practice location is 80 Garden Ctr Ste 48, Broomfield, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 336-0675.

Mr Jonathan Michael Portillo is licensed to practice in Colorado (license number LPC.0018678) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972226793.

Contact Information

	Mr Jonathan Michael Portillo, LPC
	80 Garden Ctr Ste 48, Broomfield, CO 80020-1777
	(720) 336-0675
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Michael Portillo
Gender	Male
Speciality	Counselor - Professional
Location	80 Garden Ctr Ste 48, Broomfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972226793
Provider Enumeration Date: 09/26/2022
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9133639438
Enrollment ID: I20250606000749

Medical Identifiers

Medical identifiers for Mr Jonathan Michael Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972226793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0018678 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jonathan Michael Portillo allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Michael Portillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jonathan Michael Portillo, LPC 12609 Zuni St Apt 304, Broomfield, CO 80020-3825 Ph: (480) 206-5524	Mr Jonathan Michael Portillo, LPC 80 Garden Ctr Ste 48, Broomfield, CO 80020-1777 Ph: (720) 336-0675

Reviews and Comments

Counselor in Broomfield, CO

Melissa Rose Rank, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3303 W 144th Ave Unit 204, Broomfield, CO 80023 Phone: 720-709-2810
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Grae Ferrer Roda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Breckenridge Trl, Broomfield, CO 80020 Phone: 720-840-0191
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182

Mr Jonathan Michael Portillo, LPC - Medicare Counselor in Broomfield, CO