WILLIAM DOUGLAS PORTIS LCPC CADC NPI 1003316720

NPI Information

  • NPI: 1003316720
  • Provider Name: WILLIAM DOUGLAS PORTIS, LCPC CADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 808 S ELDORADO RD STE 100C
    BLOOMINGTON, IL
    ZIP 61704
  • Phone: (309) 889-6222

Map and Directions

Get Directions

NPI Details

William Douglas Portis, LCPC CADC is a mental health counselor in Bloomington, IL. William Douglas Portis, LCPC CADC NPI is 1003316720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

808 S ELDORADO RD STE 100C
BLOOMINGTON, IL
ZIP 61704-075
Phone: (309) 889-6222

The enumeration date for this NPI number is 2/19/2018 and was last updated on 9/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)33398ILLINOISNo
2101YM0800XCounselorMental Health178.009416ILLINOISNo
3101YM0800XCounselorMental Health180012458ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.