ROBERT POTTER (NPI# 1548669039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548669039 |
Entity Type | Individual |
Full Name | ROBERT POTTER |
Credential | LASAC |
Practice Address |
1630 Shoup St Prescott AZ 86305-1343 |
Mailing Address |
Po Box 12443 Prescott AZ 86304-2443 |
Practice Telephone | 9282772448 |
Mailing Telephone | 9283801526 |
Enumeration Date | 2014-08-20 |
Last Update Date | 2014-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023591278 | Robert Jay Potter Jr. | Physical Therapy Assistant | 2322 Morgan Ave, Corpus Christi, TX 78405-1947 | 2018-09-13 |
1467802496 | Robert Potter | Optometrist | 5601 E Sprague Ave, Spokane Valley, WA 99212-0826 | 2016-06-21 |
1720420888 | Robert Adam Potter | Counselor | 3030 Nw Expressway Ste 200, Oklahoma City, OK 73112-5466 | 2013-07-17 |
1134247547 | Robert Franklin Potter | Kinesiotherapist | Department of Veterans Affairs, James H. Quillen Va Medical Center, Mountain Home, TN 37684 | 2007-03-26 |
1427096387 | Robert M Potter | Pathology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-06-03 |
1982678348 | Robert H. Potter | Family Medicine | 5700 Corporate Dr, Suite 700, Bldg 3, Pittsburgh, PA 15237-5861 | 2006-02-14 |
1649262254 | Robert Edward Potter Jr. | Chiropractor | 6231 N Canton Center Rd, Ste 109, Canton, MI 48187-2694 | 2005-08-19 |
Street Address |
1630 SHOUP ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-1343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023385390 | Montana Society Incorporated | Substance Abuse Rehabilitation Facility | 1630 Shoup St, Prescott, AZ 86305-1343 | 2011-11-30 |
1285114413 | Jason Klarer | Counselor | 1630 Shoup St, Prescott, AZ 86305-1343 | 2018-08-16 |
1013460385 | Prescott Addiction Recovery Center LLC | Community/Behavioral Health | 1630 Shoup St, Suite B, Prescott, AZ 86305-1343 | 2016-08-03 |
1790129401 | Prescott Addiction Recovery Center LLC | Community/Behavioral Health | 1630 Shoup St, Ste B, Prescott, AZ 86305-1343 | 2013-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
Find all providers in zip 86305 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
1588287858 | Grace & Peace Counseling, LLC | Counselor | 240 S Montezuma St Ste 106, Prescott, AZ 86303-4712 | 2020-05-21 |
1619527850 | Taylor Counseling Services Taylor Tlc | Counselor | 1000 Ainsworth Dr Ste B215, Prescott, AZ 86305-3411 | 2019-09-19 |
1023527801 | William James Bilbray | Counselor | 702 W Hillside Ave, Prescott, AZ 86301-1913 | 2017-09-25 |
1831583269 | Renee Podraza | Counselor | 843 Miller Valley Rd Ste 203, Prescott, AZ 86301-1821 | 2015-03-24 |
1013314988 | Mary Jo Fleming | Counselor | 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 | 2014-11-20 |
1891056461 | Greta Blankman Stromberg | Counselor | 1320 W Gurley St, Prescott, AZ 86305-2854 | 2012-05-30 |
1982970034 | Henry Dayton Turberville | Counselor | 214 N. Arizona Ave., Prescott, AZ 86301 | 2012-03-22 |
1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
Find all providers in PRESCOTT |
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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.