Jessica Poteat

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2264-226 Issued in WI

Practice address

420 7TH St
Racine, Wi 53403
Racine, WI 53403-1222

Phone

(262) 634-2391

NPI assigned

Feb 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Yarbrough Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  WI

  Medicare reassignment
• Family Service of Racine

  • Mental Health Counselor
  • Racine, WI
  • NPI 1467419200
  NPD (past)
• Knueppel Healthcare Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Racine, WI
  • NPI 1699740134
  NPD (past)
• Young Mens Christian Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1962166744
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1144769043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "address_2": "RACINE, WI 53403",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "address_2": "RACINE, WI 53403",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEAT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17188-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2264-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "YARBROUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Porcaro Performance and Rehabilitation
• Ralph William Porcaro, DC
• Portis Marriage and Children Counseling Clinic, LLC
• Alice Faye Portis-Patterson, MSW
• Eric Post, A.T.C
• Tiffany L Powell, MT
• Premier Gentle Care Home Healthcare
• Sharon Lois Prevost
• Lazria Price
• Monique Price, LPN

• Professional Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.