Katie Nicole Potts, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132822 Issued in CA

Practice address

1680 W Shaw Ave Ste 100
Fresno, CA 93711-3504

Phone

(209) 465-1080

Fax

(209) 465-2709

NPI assigned

Mar 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Youth Services of Fresno, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1730213323
  NPD (past)
• Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1437328044
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1093255374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113504",
            "telephone_number": "209-465-1080",
            "fax_number": "209-465-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113504",
            "telephone_number": "209-465-1080",
            "fax_number": "209-465-2709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Sequoia Ave",
            "address_purpose": "LOCATION",
            "city": "Fowler",
            "state": "CA",
            "postal_code": "936259458",
            "country_code": "US",
            "telephone_number": "559-325-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KATIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Richard Pottenger, M.A., M.F.T.
• Amy Potter
• Maria Perpetua Potter, P.T.
• Melinda Raygoza Potter
• Paige Potter, PA
• Novella Potts, LVN
• Rebecca Potts, ASW
• Agaiotupu Aliitasi Pouesi
• Eric James Poulsen, M.D.
• Hallie Annabel Poulton, B.S., C-SLPA

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.