Gary Potter Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1010 Issued in NE

Legal business name

GARY POTTER COUNSELING LLC

Practice address

2811 30TH Ave
Kearney, NE 68845-4036

Phone

(308) 237-6865

NPI assigned

May 3, 2013

Organization subpart

No

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

Authorized official

Name

Gary Potter, LIMHPNPI 1326159930

Title

Owner

Phone

(308) 236-0726

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary O. Potter, LMHP

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1326159930
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1093150047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454036",
            "telephone_number": "308-237-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY POTTER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-236-0726",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1010",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "1010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026315700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Helen Funk
• Austin Avery Furbush
• Kanaha Furutani
• Kyra Gans
• Amanda Gardine, LPN
• Camilla Paulette Garza
• Samantha Tenille Gaston
• Nathaniel Alan Gaunt, D.C.
• John Gauthier
• Gca Kearney Operations

• Mental Health Counselor in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.