Adriauna Clay-Potts, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC007058 Issued in FL

Practice address

1899 Lake Rd Ste 123
Hiram, GA 30141-6006

Phone

(678) 896-8959

Fax

(678) 550-1155

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2024 through Feb 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firmly Rooted Counseling LLC

  • Adult Mental Health Clinic/Center
  • Scottdale, GA
  • NPI 1629826086
  NPD Authorized official
• Tranquil Life Counseling Center, LLC

  • Professional Counselor
  • Hiram, GA
  • NPI 1538671581
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1013697143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD STE 123",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416006",
            "telephone_number": "678-896-8959",
            "fax_number": "678-550-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 LAKE RD STE 123",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416006",
            "telephone_number": "678-896-8959",
            "fax_number": "678-550-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY-POTTS",
        "first_name": "ADRIAUNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "APC007058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chella Care
• Alan Chung-Kee Cheng, M.D.
• Choice Dental P.C
• Melissa Faith Anderson Clackum, IBCLC
• Jill M Clark, CCC-SLP
• Charles Michael Clevenger, PT
• Regina S Clyburne, APC
• CMC Logistics and Transport LLC
• Cobb Root Canals
• Gabrielle Cobb, LCSW

• Professional Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.