Tristin Potratz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

091719 Issued in IA

Practice address

6601 SW 9TH St Ste 2
Des Moines, IA 50315-6138

Phone

(515) 643-9030

Fax

(515) 643-9031

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tristin Hodges Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ankeny Family Counseling

  • Mental Health Counselor
  • Ankeny, IA
  • NPI 1053804617
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1467945055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9030",
            "fax_number": "515-643-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 9TH ST STE 2",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156138",
            "telephone_number": "515-643-9030",
            "fax_number": "515-643-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTRATZ",
        "first_name": "TRISTIN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTIN",
            "last_name": "HODGES",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Noel Stein Poskevich
• Post-Acute Physicians of Iowa, PLLC
• Allison Post
• Tiffany Renae Post, PA-C
• Kevin Pothoven, M.D.
• Daniel Ephraim Pott-Pepperman, PSY.D.
• Vali Potter, RPH
• Russell Adair Potts, D.D.S.
• Shardul Poudyal, MD
• Sophie Pouliot

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.