Individual provider Active NPI

Grace Potter, LPN, MS, LPC

  • Mental Health Counselor
  • Hanceville, AL
National Provider Identifier
1154730562
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4450 Issued in AL
Practice address
1318 Commercial St NE
Hanceville, AL 35077-5512
Phone
(256) 735-3624
NPI assigned
Aug 11, 2014
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 4450 AL Primary

Addresses

Primary practice location

1318 Commercial St NE
Hanceville, AL 35077-5512

Mailing address

1318 Commercial St NE
Hanceville, AL 35077-5512
Phone (256) 338-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240315001528 AL Practitioner - Mental Health Counselor 5698146116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1318 Commercial St NE
Hanceville, AL 35077-5512
Phone (256) 962-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Choices Family Counseling Services, LLC Mental Health CurrentSince Jan 24, 2024 Accepting new patients

Locations

1318 Commercial St NE
Hanceville, AL 35077
Phone (256) 735-3624

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1154730562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 COMMERCIAL ST NE",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775512",
            "telephone_number": "256-338-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 COMMERCIAL ST NE",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775512",
            "telephone_number": "256-735-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "GRACE",
        "credential": "LPN, MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanceville, AL

Sources for this page

Verify at the official NPI Registry.