HALEY POTTORFF (NPI# 1073130530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073130530 |
| Entity Type | Individual |
| Full Name | HALEY POTTORFF |
| Credential | LCPC |
| Practice Address |
1001 N Market St Ste 101 Mount Carmel IL 62863-1945 |
| Practice Telephone | 6182634970 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1001 N MARKET ST STE 101 |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
| 1891326930 | Rachel Winter | Counselor | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2020-01-28 |
| 1396381877 | Holly Burns | Social Worker | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2019-11-20 |
| 1669991386 | Kristin Lewis | Licensed Practical Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2017-09-13 |
| 1912437880 | Shauna Smith | Social Worker | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2017-06-14 |
| 1497094130 | Sydney Jade Straw | Counselor | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| Find all providers in zip 62863 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225642770 | Leann Zollars | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2020-09-02 |
| 1275904187 | Alexis A Haile | Counselor | 129 E 5th St, Mount Carmel, PA 17851-2175 | 2015-10-19 |
| 1497094130 | Sydney Jade Straw | Counselor | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2013-01-31 |
| 1114257003 | Teri N Stangle | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2009-12-28 |
| 1821259789 | Laura Harris | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-06-23 |
| 1285802140 | Judy Schroeder | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-02-13 |
| 1457539173 | Kasey R Ford | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2008-02-05 |
| 1699891812 | Sandra M Hortin | Counselor | 130 W 7th St, Wabash County Health Department, Mount Carmel, IL 62863-1439 | 2007-03-21 |
| 1871620658 | Kim E O'neal | Counselor | 130 W 7th St, Mount Carmel, IL 62863-1443 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
Please comment or provide details below to improve the information on HALEY POTTORFF.
| 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.