Individual provider Active NPI

Ronnie Potts, MFT-I

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1700968328
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 58907 Issued in CA
Practice address
254 Cohasset Rd Ste 30
Chico, CA 95926-2290
Phone
(530) 879-5050
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 58907 CA Primary

Addresses

Primary practice location

254 Cohasset Rd Ste 30
Chico, CA 95926-2290

Mailing address

254 Cohasset Rd
Chico, CA 95926-2290
Phone (530) 879-5050

Other identifiers 2

IdentifierTypeStateIssuer
106H00000XOtherCAMARRIAGE FAMILY THERAPIST
167G00000XOtherCALICENSED PSYCHIATRIC TECH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240603002750 CA Practitioner - Marriage and Family Therapist 1456701564 Practice locations: Concord, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1430 Willow Pass Rd
250A
Concord, CA 94520-2533
Phone (925) 375-5592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF 58907CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1700968328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262290",
            "telephone_number": "530-879-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COHASSET RD STE 30",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262290",
            "telephone_number": "530-879-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "RONNIE",
        "name_prefix": "Mr.",
        "credential": "MFT-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 58907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE FAMILY THERAPIST",
            "identifier": "106H00000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHIATRIC TECH",
            "identifier": "167G00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.