JENNIFER POTAGE


Address: 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918
Phone: 7194645684

JENNIFER POTAGE (NPI# 1871069864) 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) 1871069864
Entity Type Individual
Full Name JENNIFER POTAGE
Credential MS
Practice Address 6035 Erin Park Dr. Suite 102
Colorado Springs
CO 80918
Practice Telephone 7194645684
Mailing Telephone 7194645684
Enumeration Date 2018-10-17
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPCC.0016233 CO Behavioral Health & Social Service Providers

Office Location

Street Address 6035 ERIN PARK DR. SUITE 102
City COLORADO SPRINGS
State CO
Zip Code 80918

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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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Competitor

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City COLORADO SPRINGS
Zip Code 80918

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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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