Individual provider Active NPI

Brianna D Potter, LMHC

  • Counselor
  • Waverly, IA
National Provider Identifier
1538048459
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
118289 Issued in IA
Practice address
124 2ND St NE
Waverly, IA 50677-1762
Phone
(319) 344-4994
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 118289 IA Primary

Addresses

Primary practice location

124 2ND St NE
Waverly, IA 50677-1762

Mailing address

124 2ND St NE
Waverly, IA 50677-1762
Phone (319) 344-4994

Other names 1

  • Brianna D Quigley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260203002151 IA Practitioner - Mental Health Counselor 0547748204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3362 University Ave
Waterloo, IA 50701-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118289IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Services Inc CurrentSince Dec 29, 2025 Accepting new patients
Pathways Behavioral Services Inc CurrentSince Dec 29, 2025 Accepting new patients

Locations

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

124 2nd St NE
Waverly, IA 50677
Phone (319) 344-4994

111 10th St SW
Waverly, IA 50677
Phone (319) 235-6571

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1538048459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 2ND ST NE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771762",
            "telephone_number": "319-344-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND ST NE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771762",
            "telephone_number": "319-344-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "BRIANNA",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "118289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "QUIGLEY",
            "middle_name": "D",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.