Individual provider Active NPI

Danita Renae Potter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1073167573
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
206980 Issued in LA
Practice address
518 Durham St
Bastrop, LA 71220-5013
Phone
(318) 283-8887
Fax
(318) 281-2559
NPI assigned
Aug 1, 2019
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 206980 LA Primary

Addresses

Primary practice location

518 Durham St
Bastrop, LA 71220-5013

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828000013 LA Practitioner - Nurse Practitioner 4587992664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Wellness Urgent Psychiatric Care ClinicGroup PAC ID 8729471099, 3 clinicians

Practice addresses (Care Compare)

343 N Washington St
Bastrop, LA 71220-3849
Phone (318) 598-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Psychiatric/Mental Health Current Accepting new patients
Total Wellness Care Clinic LLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Jul 30, 2019 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Jul 30, 2019 Accepting new patients
Northeast Counseling, LLC CurrentSince Jan 6, 2026 Accepting new patients
Reframing for Life, LLC Psychiatric/Mental Health Current Accepting new patients
Total Wellness Urgent Psychiatric Care Clinic Psychiatric/Mental Health CurrentSince Jan 6, 2026 Accepting new patients

Locations

343 N Washington St
Bastrop, LA 71220
Phone (318) 598-5040

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

700 N 7th St
Monroe, LA 71201
Phone (318) 598-5040

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1073167573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 DURHAM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205013",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "DANITA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "206980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.