Active NPI
Rachel Potter
- Behavior Technician
- Traverse City, MI
National Provider Identifier
1053920322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- PO Box 392
Traverse City, MI 49685-0392 - Phone
- (231) 268-0007
- Fax
- (231) 525-3170
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
PO Box 392
Traverse City, MI 49685-0392
Mailing address
8171 Cherry LN
Cadillac, MI 49601-9302
Phone (231) 884-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1053920322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8171 CHERRY LN",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496019302",
"telephone_number": "231-884-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 392",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496850392",
"telephone_number": "231-268-0007",
"fax_number": "231-525-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.