POTENTIAL UNLIMITED (NPI# 1710150875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710150875 |
| Entity Type | Organization |
| Organization Name | POTENTIAL UNLIMITED |
| Other Organization Name | ADD/ADHD CLINIC |
| Practice Address |
850 Siskiyou Blvd Suite 9 Ashland OR 97520-2125 |
| Mailing Address |
Po Box 1316 Ashland OR 97520-0044 |
| Practice Telephone | 5414822780 |
| Practice Fax Number | 5414822780 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | SUSAN C BERRYHILL (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5414822780 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
C0060 | OR | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ADD/ADHD Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | POTENTIAL UNLIMITED INC | Po Box 2012, Michigan City, IN 46361 |
| Virginia Business Entities | Potential Unlimited Inc. | 8897 Northumberland Highway, P O Box 177, Heathsville, Virginia 22473 |
| Colorado Business Entities | POTENTIAL UNLIMITED LLC | 1085 Thornbury Place, Highlands Ranch, CO 80129 |
| New York State Corporations | POTENTIAL UNLIMITED LLC | 337 North Main Street, Suite 11, New City, Ny 10956 |
| New York State Corporations | POTENTIAL UNLIMITED PRODUCTIONS, INC. | One John Street, Box Z, Millerton, New York 12546 |
| Street Address |
850 SISKIYOU BLVD SUITE 9 |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750311833 | Patrick J. Wedlake | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd, Suite 7, Ashland, OR 97520-2237 | 2006-07-04 |
| 1699227918 | Amelia L. Bueche, D.o., LLC | Clinic/Center | 850 Siskiyou Blvd, Suite 7, Ashland, OR 97520-2125 | 2016-11-03 |
| 1609103845 | Zachary Paul Allen | Naturopath | 850 Siskiyou Blvd, Suite 5, Ashland, OR 97520-2125 | 2009-11-09 |
| 1639342793 | Philip Miller | Counselor | 850 Siskiyou Blvd, Suite 9, Ashland, OR 97520-2125 | 2008-04-10 |
| 1710008776 | Jeanne Marie Normand White | Acupuncturist | 850 Siskiyou Blvd, Suite 8, Ashland, OR 97520-2125 | 2007-04-03 |
| 1376677575 | Susan Chipp Berryhill | Counselor | 850 Siskiyou Blvd, Suite 9, Ashland, OR 97520-2125 | 2007-03-16 |
| 1588716872 | Ashland Osteopathic Services, P.C. | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd, Suite 7, Ashland, OR 97520-2125 | 2007-01-17 |
| 1659429249 | Ashland Integrative Care PC | Nurse Practitioner | 850 Siskiyou Blvd, Suite 1, Ashland, OR 97520-2125 | 2007-01-08 |
| 1548339443 | David B Hagie Do LLC | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd, Suite 7, Ashland, OR 97520-2125 | 2006-11-06 |
| 1619991270 | David B Hagie | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd, Suite 7, Ashland, OR 97520-2125 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1144871070 | Pamela Cancel | Counselor | 1000 Benson Way Ste 204, Ashland, OR 97520-9564 | 2019-09-23 |
| 1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
| 1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
| 1902319577 | Alison Lee Nightingale | Counselor | 1135 Old Highway 99 S, Ashland, OR 97520-9719 | 2017-11-06 |
| 1396284394 | William Brian Cook | Counselor | 1212 Bath Ave, 8th Floor, Ashland, KY 41101-5422 | 2017-02-23 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1760939011 | Elizabeth Diane Hocker | Counselor | 203 Johnson Ct, Ashland, MO 65010-9473 | 2016-09-03 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| Find all providers in ASHLAND | ||||
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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.