Individual provider Active NPI

Ana Alicia Amoricity Potthast, DSW, LCSW, LCDC

  • Clinical Social Worker
  • New Braunfels, TX
National Provider Identifier
1609462480
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59774 Issued in TX
Practice address
667 Arroyo Sierra
New Braunfels, TX 78130-0190
Phone
(210) 508-4688
NPI assigned
Dec 16, 2020
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15054 TX
Mental Health Counselor 101YM0800X 59774 TX
Clinical Social Worker 1041C0700X 59774 TX Primary

Addresses

Primary practice location

667 Arroyo Sierra
New Braunfels, TX 78130-0190

Mailing address

667 Arroyo Sierra
New Braunfels, TX 78130-0190
Phone (210) 508-4688

Other identifiers 2

IdentifierTypeStateIssuer
15054OtherTXLICENSED CHEMICAL DEPENDENCY COUNSELOR
59774OtherTXLICENSED CLINICAL SOCIAL WORKER

Other names 1

  • Dr. Ana Alicia Perez-Ingram Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220125000604 TX Practitioner - Clinical Social Worker 5395137350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luz Counseling and Consulting PLLCGroup PAC ID 3274053459, 3 clinicians

Practice addresses (Care Compare)

4115 Medical Dr
Suite 410
San Antonio, TX 78229-5637
Phone (210) 369-9424

667 Arroyo Sierra
New Braunfels, TX 78130-0190
Phone (830) 660-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15054TXMDProfessional Counselor
59774TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Multi-Specialty CurrentSince Oct 9, 2023 Accepting new patients
Mindgarden Therapeutic Services Addiction (Substance Use Disorder) CurrentSince Apr 26, 2022 Accepting new patients
Luz Counseling and Consulting, PLLC Multi-Specialty CurrentSince May 12, 2025 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

4115 Medical Dr
Ste 410
San Antonio, TX 78229
Phone (210) 369-9424

7970 Fredericksburg Rd
#101352
San Antonio, TX 78229

Interoperability endpoints

  • Direct secure messaging: ana.potthast.1@30520.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1609462480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ARROYO SIERRA",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300190",
            "telephone_number": "210-508-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 ARROYO SIERRA",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300190",
            "telephone_number": "210-508-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTHAST",
        "first_name": "ANA ALICIA",
        "middle_name": "AMORICITY",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15054",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CHEMICAL DEPENDENCY COUNSELOR",
            "identifier": "15054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "59774",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "PEREZ-INGRAM",
            "middle_name": "ALICIA",
            "prefix": "DR.",
            "credential": "DSW, LCSW, LCDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.