CHARITY POTTER


Address: 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390
Phone: 2082337832

CHARITY POTTER (NPI# 1952420077) 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) 1952420077
Entity Type Individual
Full Name CHARITY POTTER
Credential LCPC, LSW
Practice Address 353 N 4th Ave
Suite 110
Pocatello
ID 83201-6390
Mailing Address Po Box 4908
Pocatello
ID 83205-4908
Practice Telephone 2082337832
Mailing Telephone 2082337832
Enumeration Date 2007-03-28
Last Update Date 2013-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LCPC-4601 ID Behavioral Health & Social Service Providers
N 104100000X Social Worker LSW-25961 ID Behavioral Health & Social Service Providers

Other Providers CHARITY POTTER

NPI Name Taxonomy Address Enumeration
1497369656 Charity Elaine Potter Technician 6592 Breeden Crk, Breeden, WV 25666-6610 2020-09-04

Office Location

Street Address 353 N 4TH AVE
SUITE 110
City POCATELLO
State ID
Zip Code 83201-6390

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063587509 Alliance Home Health of Idaho, LLC Home Health 353 N 4th Ave, Suite 205, Pocatello, ID 83201-6390 2006-11-21
1134621436 Bmh Inc. Surgery 353 N 4th Ave, Pocatello, ID 83201-6390 2018-03-02
1740632942 Bmh Inc Clinic/Center 353 N 4th Ave, Suite 102, Pocatello, ID 83201-6390 2016-07-12
1124448675 Jason W Balls Counselor 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 2014-04-23
1265862783 Naomi Reardon Counselor 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 2013-11-19
1598105462 Joshua M Nielsen Counselor 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 2013-06-25
1881034759 Aaron S Green Counselor 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 2013-06-25
1124464318 Jackie L Newsom Social Worker 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 2013-05-15
1770929879 Terri S Bergmeier Counselor 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 2013-05-15
1730524885 Chidimma Njoku Counselor 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 2013-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669081311 Catherine Leavitt Counselor 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 2020-07-29
1407363690 Kimberly B Rasmussen, Pllc Counselor 850 E Center St Ste F, Pocatello, ID 83201-5737 2018-01-09
1508396714 Steven Richard Miner Counselor 440 E Clark St Ste A, Pocatello, ID 83201-6308 2017-06-20
1306210398 Amanda Bland Counselor 1133 Rowland Rd, Pocatello, ID 83204-7416 2015-11-14
1962804757 Gary Sean Redford Counselor 12930 N Rio Vista Rd, Pocatello, ID 83202-5007 2014-09-23
1750781449 Jennifer Lynn Seaich Counselor 4460 Center Way, Center Counseling, Pocatello, ID 83202 2014-08-29
1437585189 Shayla F Ward Counselor 459 S Arthur Ave, Pocatello, ID 83204-3303 2013-09-25
1366781262 Gail Taylor Thorngren Counselor 201 E Center St Ste B, Pocatello, ID 83201-6339 2013-02-12
1851650691 Christine Collaer-muzzo Counselor 120 S 12th Ave Ste 4, Pocatello, ID 83201-4814 2012-05-14
1164780706 Kimberly Jo Andrew Counselor 421 E Oak St, Pocatello, ID 83201-4601 2012-05-02
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Competitor

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City POCATELLO
Zip Code 83201

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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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