Active NPI
Lauren Leigh Pothitakis
- Psychiatric/Mental Health Nurse Practitioner
- North Liberty, IA
National Provider Identifier
1558271585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G194035
- Practice address
- 595 Ashley CT Ste 1
North Liberty, IA 52317-4758 - Phone
- (319) 626-2224
- NPI assigned
- Sep 10, 2026
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G194035 | IA | Primary |
Addresses
Primary practice location
595 Ashley CT Ste 1
North Liberty, IA 52317-4758
Mailing address
595 Ashley CT Ste 1
North Liberty, IA 52317-4758
Phone (319) 626-2224
Other practice location 1
2431 Coral Ct Ste 4
Coralville, IA 52241-2838
Phone (319) 626-2224
Other practice location 2
2931 7th Ave
Marion, IA 52302-3734
Phone (319) 380-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Family Therapy Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- North Liberty, IA
- NPI 1275309072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1558271585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 ASHLEY CT STE 1",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174758",
"telephone_number": "319-626-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 ASHLEY CT STE 1",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174758",
"telephone_number": "319-626-2224"
}
],
"practiceLocations": [
{
"address_1": "2431 Coral Ct Ste 4",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412838",
"country_code": "US",
"telephone_number": "319-626-2224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2931 7th Ave",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IA",
"postal_code": "523023734",
"country_code": "US",
"telephone_number": "319-380-2580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTHITAKIS",
"first_name": "LAUREN",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G194035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.