Chad Potts, BCPC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

01184773 Issued in GA

Practice address

337 W Pike St
Lawrenceville, GA 30046-4843

Phone

(678) 765-9291

NPI assigned

Mar 22, 2020

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Freedom Path Counseling Inc

  • Pastoral Counselor
  • Lawrenceville, GA
  • NPI 1801367123
  NPD Authorized official
• Georgia Psychological Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1104657436
  NPD Authorized official

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1609402551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RIVERSIDE PKWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435996",
            "telephone_number": "678-765-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 W PIKE ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464843",
            "telephone_number": "678-765-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "BCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "01184773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Catherine Porras, OTD, OTR/L
• Ta'Shay Shanee Porter, ACSW
• Lillian Portillo, RPH
• Positive Influences Counseling LLC
• Anthony John Pothoulakis, MD
• Angela Powell-Smith, ED.D., LPC,
• Anethia Schwann Powell
• Tessa Powell, PT, DPT
• Jennifer Lee Powers, PHARMD
• Hem Prajapati

• Pastoral Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.