NPIMap

Organization Active NPI

Jennifer K. Potts Therapy LLC

  • Exclusive Provider Organization
  • Annapolis, MD
National Provider Identifier
1396280020
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
LC7436 Issued in MD
Legal business name
JENNIFER K. POTTS THERAPY LLC
Practice address
111 Quiet Waters PL
Annapolis, MD 21403-2705
Phone
(443) 523-0559
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Mrs. Jennifer K Potts, LCPC, LGADC, CRCNPI 1447673140
Title
Psychotherapist
Phone
(443) 523-0559

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X LC7436 MD Primary

Addresses

Primary practice location

111 Quiet Waters PL
Annapolis, MD 21403-2705

Mailing address

111 Quiet Waters PL
Annapolis, MD 21403-2705
Phone (443) 523-0559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1396280020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 QUIET WATERS PL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032705",
            "telephone_number": "443-523-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 QUIET WATERS PL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032705",
            "telephone_number": "443-523-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER K. POTTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-523-0559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, LGADC, CRC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": "LC7436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.