The Potter'S Place

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001759 Issued in NY

Legal business name

THE POTTER'S PLACE

Practice address

210 Court St
Watertown, NY 13601-4546

Phone

(315) 212-4381

Fax

(315) 212-4382

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Wendy L Eddy, LMHC,CASAC

Title

Therapist

Phone

(315) 771-8322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1255602025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COURT ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014546",
            "telephone_number": "315-212-4381",
            "fax_number": "315-212-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COURT ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014546",
            "telephone_number": "315-212-4381",
            "fax_number": "315-212-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTER'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "315-771-8322",
        "authorized_official_credential": "LMHC,CASAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenelle Spaulding Ten Eyck, M.S. CCC-SLP
• Sharon Tenney, NP
• Noemi Terrado, LPN
• The Golub Corporation
• The Mental Health Association in Jefferson County, Inc.
• The Rowland Center, Inc.
• The Treehouse Hourly Child Care, LLC
• The Young Men'S Christian Association of Watertown Ny Inc.
• Sydney C Theobald, LCSW
• Adrean Lynn Thomas, OTD, OTR/L

• Mental Health Counselor in Watertown, NY
• Providers in Watertown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.