Active NPI
Christy Michelle Potter, LPCC
- Professional Counselor
- Riverside, CA
National Provider Identifier
1164053393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19195
- Practice address
- 3333 14TH St
Riverside, CA 92501-3858 - Phone
- (951) 924-9791
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19195 | CA | Primary |
Addresses
Primary practice location
3333 14TH St
Riverside, CA 92501-3858
Mailing address
3333 14TH St
Riverside, CA 92501-3858
Phone (951) 924-9791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98399251C63319 | Other | CA | HMO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christyp@csforkids.org | Direct | |
| CONNECT URL | christyp@csforkids.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7390 | CA | MD | Mental Health Counselor |
| 19195 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Solutions for Kids & Families | Current | Accepting new patients |
Locations
22445 Alessandro Blvd
Ste 113114
Moreno Valley, CA 92553
Phone (951) 900-7329
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 and National Provider Directory roles.
-
- Foster Care Agency
- Riverside, CA
- NPI 1851889828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1164053393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 14TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013858",
"telephone_number": "951-924-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 14TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013858",
"telephone_number": "951-924-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "CHRISTY",
"middle_name": "MICHELLE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "19195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "98399251C63319",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christyp@csforkids.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "christyp@csforkids.org",
"address_1": "3333 14th St",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925013858",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "christyp@csforkids.org",
"affiliation": "N",
"address_1": "22445 Alessandro Blvd Ste 113-114",
"city": "Moreno Valley",
"state": "CA",
"country_code": "US",
"postal_code": "925538358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.