ROBERT POTTER


Address: 1630 Shoup St, Prescott, AZ 86305-1343
Phone: 9282772448

ROBERT POTTER (NPI# 1548669039) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers ROBERT POTTER

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

Office Location

Street Address 1630 SHOUP ST
City PRESCOTT
State AZ
Zip Code 86305-1343

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PRESCOTT
Zip Code 86305

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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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