Marcus C Potter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10704 N 100TH East Ave
Owasso, OK 74055-7844

Phone

(918) 889-3760

NPI assigned

Mar 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A New Way Center

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1912330929

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1487412870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10704 N 100TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 N 100TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557844",
            "telephone_number": "918-889-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MARCUS",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Healthcare of Oklahoma, LLP (WorkHealth Solutions)
• Pivotal Pathways LLC
• Brent Plaxico, O.D.
• Lauretta Jem Pontiflet
• Jone Post, D.PH.
• Ashley Poulin, PTA
• Timothy Blake Poulter, PHARM D.
• Jillian Renae Prather, D.M.D.
• Desirea Christine Prelesnick
• Beverly Lynn Prentice, M.S., R.D., L.D.

• Mental Health Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.