Active NPI
Gretchen Potter, LPCC
- Mental Health Counselor
- Farmington, NM
National Provider Identifier
1629392162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0131611
- Practice address
- 871 Andrea Dr
Farmington, NM 87401-6726 - Phone
- (505) 566-4545
- NPI assigned
- Mar 25, 2010
- Last updated
- Oct 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0131611 | NM | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
871 Andrea Dr
Farmington, NM 87401-6726
Mailing address
1307 Oakwood Dr
Bloomfield, NM 87413-6376
Phone (505) 860-3365
Other practice location 1
1422 Paseo De Peralta
Santa Fe, NM 87501-4391
Phone (505) 320-9603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gapotter@wellpath.us |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131611 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, 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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1629392162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 OAKWOOD DR",
"city": "BLOOMFIELD",
"state": "NM",
"postal_code": "874136376",
"telephone_number": "505-860-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 ANDREA DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016726",
"telephone_number": "505-566-4545"
}
],
"practiceLocations": [
{
"address_1": "1422 Paseo De Peralta",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875014391",
"country_code": "US",
"telephone_number": "505-320-9603",
"fax_number": "505-324-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "GRETCHEN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0131611",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gapotter@wellpath.us",
"affiliation": "N",
"endpointDescription": "Secure Work Email",
"address_1": "871 Andrea Dr",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874016726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.