Individual provider Active NPI

Alexandra Potts Huckins, MA, LPC

  • Mental Health Counselor
  • Lafayette, CO
National Provider Identifier
1679898878
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5311 Issued in CO
Practice address
1301 Caria Dr
Lafayette, CO 80026-1226
Phone
(303) 554-0319
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5311 CO Primary

Addresses

Primary practice location

1301 Caria Dr
Lafayette, CO 80026-1226

Mailing address

1301 Caria Dr
Lafayette, CO 80026-1226
Phone (303) 554-0319

Other names 1

  • Alexandra Tenney Potts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240627003631 CO Practitioner - Mental Health Counselor 6608310941 Practice locations: Broomfield, CO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Garden Ctr
Suite 340
Broomfield, CO 80020-1735
Phone (303) 946-1097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5311COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Elements Therapy Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1679898878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CARIA DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261226",
            "telephone_number": "303-554-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARIA DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261226",
            "telephone_number": "303-554-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKINS",
        "first_name": "ALEXANDRA",
        "middle_name": "POTTS",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "POTTS",
            "middle_name": "TENNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.