Rebecca Potter

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH7817 Issued in FL

Legal business name

REBECCA POTTER

Practice address

1417 Michigan Dr
Lake Worth, FL 33461-6059

Phone

(561) 267-3831

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Potter, LMHCNPI 1588848287

Title

Licensed Mental Health Counselor

Phone

(561) 267-3831

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca June Potter, LMHC

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1588848287
  NPD Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1023470648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MICHIGAN DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616059",
            "telephone_number": "561-267-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MICHIGAN DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616059",
            "telephone_number": "561-267-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA POTTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "561-267-3831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.