CHARLES POTTER (NPI# 1265888259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265888259 |
| Entity Type | Individual |
| Full Name | CHARLES POTTER |
| Credential | MA, LPCC |
| Practice Address |
1251 Nilles Rd Ste 5 Fairfield OH 45014-7205 |
| Practice Telephone | 5139390300 |
| Practice Fax Number | 5139390310 |
| Mailing Telephone | 5139390300 |
| Mailing Fax Number | 5139390310 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Congress St, Suite 106, Springfield, MA 011043564 | 4137391611 | 4137391711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705125 | Charles Henry Potter | Emergency Medicine | 801 East Williams Avenue, Fallon, NV 89406 | 2007-01-16 |
| 1982789418 | Charles Alan Potter | Family Medicine | 1195 E Arques Ave, Suite 1, Sunnyvale, CA 94085-3904 | 2006-10-25 |
| 1396839890 | Charles R. Potter | Otolaryngology | 770 W High St, Suite 460, Lima, OH 45801-3990 | 2006-10-02 |
| 1275641409 | Charles A Potter | Dentist | 319 Center St, Dupont, PA 18641-1403 | 2006-08-28 |
| 1023092897 | Charles F Potter | Pediatrics | 415 N 9th St, Springfield, IL 62702-5317 | 2005-12-05 |
| Street Address |
1251 NILLES RD STE 5 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901812 | Dustin Mark Faulkner | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2006-04-13 |
| 1396361945 | Compass Point Partners In Wellness, Inc. | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2020-06-19 |
| 1306481197 | Karen Durgans | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-11-15 |
| 1649811548 | Jodi Annette Haley | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014 | 2019-10-01 |
| 1487207684 | Frank Wamsley | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-07-17 |
| 1922650860 | Mariah Goodwin | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-07-11 |
| 1316503337 | Elizabeth Rosemary Pastina | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-05-15 |
| 1427520287 | Aarin Kristin Cox | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-12-18 |
| 1073080685 | Gregory William Rogers | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-11-01 |
| 1376037069 | Julie Arnold | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273781 | Hope Counseling, LLC | Counselor | 87 Ruane St, Fairfield, CT 06824-5864 | 2019-09-05 |
| 1376190504 | Megan Jane Earp | Counselor | 500 N 3rd St Ste 209, Fairfield, IA 52556-2483 | 2019-08-22 |
| 1083272561 | Keturah Walker | Counselor | 5098 Rowe Dr, Fairfield, CA 94533-6590 | 2019-05-30 |
| 1093278525 | Rhonda M Bogenschutz | Counselor | 311 Nilles Rd Ste A, Fairfield, OH 45014-2621 | 2019-04-11 |
| 1023501525 | Isaac Higgins | Counselor | 1234 Empire St # 1500, Fairfield, CA 94533-5711 | 2018-06-08 |
| 1851899348 | Caitlin Asels | Counselor | 1234 Empire St # 2130, Fairfield, CA 94533-5711 | 2018-01-30 |
| 1700314606 | Fairfield County Counseling | Counselor | 60 Katona Dr Ste 22, Fairfield, CT 06824-3544 | 2017-05-23 |
| 1285181552 | Anthony Tucci | Counselor | 2209 Concord Ct, Fairfield, CA 94533-5858 | 2016-09-05 |
| 1003274515 | Susan Myunghee Choi | Counselor | 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534-9600 | 2016-01-29 |
| 1588032239 | Whitney Ann Walker | Counselor | 2100 W Texas St, Fairfield, CA 94533-4468 | 2015-09-11 |
| Find all providers in FAIRFIELD | ||||
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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.