Organization Active NPI

Lioness Healing and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1154058790
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LIONESS HEALING AND WELLNESS LLC
Practice address
1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300
Phone
(540) 616-2312
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Kayla Potter, PMHNPNPI 1851968499
Title
Pmhnp
Phone
(540) 616-2312

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300

Mailing address

13458 Dachshund Run
Culpeper, VA 22701-4815

Other practice location 1

1140 Professional Ct
Hagerstown, MD 21740-5852
Phone (540) 616-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230104000940 VA Part B Supplier - Clinic/Group Practice 5193195360 Receives reassigned benefits from 2 practitioners
Practice locations: Culpeper, VA
O20230823002154 MD Part B Supplier - Clinic/Group Practice 5193195360 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2324008Lioness Healing and Wellness1400 Sunset Lane Unit 4230, Culpeper, VA 22701Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

604 N Chester St
Unit 142
Baltimore, MD 21205
Phone (540) 616-2312

1400 Sunset Ln
#4230
Culpeper, VA 22701
Phone (216) 924-8879

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1154058790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13458 DACHSHUND RUN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SUNSET LN STE 4230",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013300",
            "telephone_number": "540-616-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405852",
            "country_code": "US",
            "telephone_number": "540-616-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIONESS HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "540-616-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.