Individual provider Active NPI

Janelle Potts, MA, LPC

  • Counselor
  • Easton, PA
National Provider Identifier
1275950008
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC007400 Issued in PA
Practice address
3701 Corriere Rd Ste 10
Easton, PA 18045-7991
Phone
(484) 591-7060
Fax
(484) 591-7061
NPI assigned
Mar 18, 2014
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC007400 PA Primary

Addresses

Primary practice location

3701 Corriere Rd Ste 10
Easton, PA 18045-7991

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-0720

Other practice location 1

4807 Freemansburg Ave Ste 100
Easton, PA 18045-5522
Phone (484) 591-7620

Other practice location 2

2401 Northampton St Ste 210
Easton, PA 18045-2764
Phone (484) 591-7470

Other identifiers 1

IdentifierTypeStateIssuer
1275950008MedicaidPA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC007400PAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1275950008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0720",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 10",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7060",
            "fax_number": "484-591-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4807 Freemansburg Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455522",
            "country_code": "US",
            "telephone_number": "484-591-7620",
            "fax_number": "484-591-7621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Northampton St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180452764",
            "country_code": "US",
            "telephone_number": "484-591-7470",
            "fax_number": "484-591-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JANELLE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275950008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.