Katarzyna Hanna Potocka

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1425 Dunn Ave
Daytona Beach, FL 32114-1439

Phone

(386) 323-9600

Fax

(386) 323-9697

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: katarzyna.potocka.p1@direct.azahealth.nextgenshare.com

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.

• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061
  Medicare reassignment NPD
• Rural Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1811429806
  NPD
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD
• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Interlachen, FL
  • NPI 1477529311
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1447735261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N OLEANDER AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183827",
            "telephone_number": "386-315-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141439",
            "telephone_number": "386-323-9600",
            "fax_number": "386-323-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 N Oleander Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321183827",
            "country_code": "US",
            "telephone_number": "386-315-9775 x38631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTOCKA",
        "first_name": "KATARZYNA",
        "middle_name": "HANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW18141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Porter
• Shaun Porter, PT, DPT
• Antonio Manuel Portilla-Cintron Jr., M.D.
• Cindy J Portner, DO
• Sidney Possick, M.D.
• Charles Powell
• Mi'Talia Shanice Powell, BS
• Bethann B Powers, CRNA
• Daniel E. Powers, PMHNP-BC
• Heather Lynn Powers

• Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.