Individual provider Active NPI

Haley Pottkotter, MA, MFT

  • Marriage & Family Therapist
  • Celina, OH
National Provider Identifier
1124882360
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M.2400304 Issued in OH
Practice address
1978 Havemann Rd # 253
Celina, OH 45822-9300
Phone
(567) 621-1177
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.2400304 OH Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1978 Havemann Rd # 253
Celina, OH 45822-9300

Mailing address

1978 Havemann Rd # 253
Celina, OH 45822-9300
Phone (567) 621-1177

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
M.2400304OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Personal Wellness, LLC CurrentSince Feb 11, 2024 Accepting new patients
JTDM Family Practice LLC PastSince Feb 11, 2024 Accepting new patients
Sequoia Wellness Center LLC Past Accepting new patients

Locations

4 Eagle Dr
Ste A
Minster, OH 45865
Phone (419) 394-9579

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1124882360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 HAVEMANN RD # 253",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "567-621-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 HAVEMANN RD # 253",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "567-621-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTKOTTER",
        "first_name": "HALEY",
        "name_prefix": "Mrs.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.2400304",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.