MS. BROOKLYNN PAIGE POTTER (NPI# 1336774116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336774116 |
| Entity Type | Individual |
| Full Name | MS. BROOKLYNN PAIGE POTTER |
| Practice Address |
592 Rio Lindo Ave Chico CA 95926-1817 |
| Mailing Address |
193 E 1st Ave Apt 5 Chico CA 95926-3344 |
| Practice Telephone | 5308912775 |
| Mailing Telephone | 5304079133 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
592 RIO LINDO AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922174366 | Eula J Moffett | Marriage & Family Therapist | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2006-11-28 |
| 1639778616 | Amy Aong Vang | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-10-21 |
| 1164021507 | Alexander Jonathan Mark Cook | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-10-17 |
| 1770199796 | Goua Xiong | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-09-16 |
| 1508479635 | Vanessa Inez Guzman | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-08-28 |
| 1750992822 | James Tucker Pregler | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-08-12 |
| 1295356343 | Rosa Xayavong | Licensed Vocational Nurse | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-04-29 |
| 1831718824 | Timothy Vigus | Licensed Vocational Nurse | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-04-10 |
| 1972139608 | Martha Jean Sharpe | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-03-13 |
| 1245865690 | Melody Brooke Sprague | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1437624418 | Abram W Andersen | Counselor | 30 Landing Cir, Chico, CA 95973-7895 | 2018-10-05 |
| 1649752437 | Rebecca Ann Lacque | Counselor | 315 Wall St Ste 13, Chico, CA 95928-7800 | 2018-08-29 |
| 1770079691 | Brelynn Ashtyn Conn | Counselor | 572 Rio Lindo Ave Ste 206, Chico, CA 95926-1851 | 2018-07-03 |
| 1679075055 | Adrienne Mary Parker | Counselor | 1500 Normal Ave, Chico, CA 95928-6545 | 2018-03-01 |
| 1164940367 | Chris Stephen Jorgensen | Counselor | 301 Broadway St Ste 300, Chico, CA 95928-5321 | 2017-09-07 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1013379759 | Janet Servin-alejandre | Counselor | 130 Yellowstone Dr Ste 100, Chico, CA 95973-5884 | 2016-03-22 |
| Find all providers in CHICO | ||||
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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.