Organization Active NPI

Neurodiverse Relationship Counseling

  • Marriage & Family Therapist
  • Richardson, TX
National Provider Identifier
1083461362
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NEURODIVERSE RELATIONSHIP COUNSELING
Practice address
1701 Gateway Blvd Ste 301
Richardson, TX 75080-3546
Phone
(469) 240-1033
NPI assigned
May 3, 2024
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Mary Potenti, LMFTNPI 1518147172
Title
Owner
Phone
(469) 240-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1701 Gateway Blvd Ste 301
Richardson, TX 75080-3546

Mailing address

3419 Westminster Ave # 262
Dallas, TX 75205-1387
Phone (310) 213-6398

Other names 1

  • Mary Potenti LMFT Other name

National Provider Directory

National Provider Directory

Locations

1701 Gateway Blvd
Ste 301
Richardson, TX 75080
Phone (469) 240-1033

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1083461362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 WESTMINSTER AVE # 262",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051387",
            "telephone_number": "310-213-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GATEWAY BLVD STE 301",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803546",
            "telephone_number": "469-240-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSE RELATIONSHIP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "POTENTI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-240-1033",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Potenti LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.