Elizabeth Potthast

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15119-135 Issued in WI

Practice address

4383 N 27TH St
Milwaukee, WI 53216-1809

Phone

(414) 871-8883

Fax

(414) 871-8950

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427190701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 N 86TH ST LOWR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262744",
            "telephone_number": "262-960-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 N 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161809",
            "telephone_number": "414-871-8883",
            "fax_number": "414-871-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTHAST",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15119-135",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13400-132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39399900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Grace Potter, DO
• Mary Claire Potter
• Ryan Potter
• Potter'S House Care LLC
• Potters House PNCC Services
• Jessica Pottinger, BCABA
• Leah Poulos, MD
• Michael Poulson, MD
• Gregory A. Poulton, PA-C
• Pedram Pourhosseini

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.