Alaina Marie Potter, LMHC
Individual provider Active NPI Mental Health Counselor · Lady Lake, FL
NPI 1669245189 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1669245189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH22943 (FL)
- Practice address
- 379 Fennell Blvd
Lady Lake, FL 32159-3185 - Phone
- (352) 633-5253
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freedom Counseling Services, LLC
Practice addresses (Care Compare)
379 Fennell Blvd
Lady Lake, FL 32159-3185
Phone (352) 633-5253
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524002783 | FL | Practitioner - Mental Health Counselor | 8123460961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH22943 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Counseling Services, LLC | Mental Health | Current |
Accepting new patients |
| Orthocare Orthotics and Prosthetics Inc | Past |
Accepting new patients |
Locations
379 Fennell Blvd
Lady Lake, FL 32159
Phone (352) 633-5253
363 Fennell Blvd
Lady Lake, FL 32159
Phone (352) 633-5253
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | MH22943 | FL | Yes |
Addresses
Primary practice location
379 Fennell Blvd
Lady Lake, FL 32159-3185
Mailing address
15033 Farm Rd
Groveland, FL 34736-9293
Other providers in Lady Lake, FL
- Physicians for Quality Healthcare,Inc
- Carlo Francis Pilapil
- Pimendent, PA
- Cheryl Lynn Pisano
- David Posada
- Jeffrey J Pralle
- Premiere Care Providers LLC
- Braxton William Price
- David Alexander Price
- Primary Care Dr Z PPLC
All providers in Lady Lake, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.