Individual provider Active NPI

Jennifer K Potts, LPCMH, NCC

  • Counselor
  • Camden Wyoming, DE
National Provider Identifier
1447673140
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
9788 Westville Rd
Camden Wyoming, DE 19934-2305
Phone
(443) 523-0559
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X PC-80020 DE
Counselor 101Y00000X Primary

Addresses

Primary practice location

9788 Westville Rd
Camden Wyoming, DE 19934-2305

Mailing address

9788 Westville Rd
Camden Wyoming, DE 19934-2305
Phone (443) 523-0559

Other identifiers 2

IdentifierTypeStateIssuer
609550001MedicaidMD
609550004MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424002132 DE Practitioner - Mental Health Counselor 6103342910 Practice locations: Camden Wyoming, DE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-80020DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Training Institute Inc. CurrentSince Feb 12, 2023 Accepting new patients
Jennifer K. Potts Therapy LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1447673140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 WESTVILLE RD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199342305",
            "telephone_number": "443-523-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 WESTVILLE RD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199342305",
            "telephone_number": "443-523-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "LPCMH, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-80020",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden Wyoming, DE

Sources for this page

Verify at the official NPI Registry.