Potential Unlimited

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0060 Issued in OR

Legal business name

POTENTIAL UNLIMITED

Doing business as

ADD/ADHD Clinic

Practice address

850 Siskiyou Blvd
Suite 9
Ashland, OR 97520-2125

Phone

(541) 482-2780

Fax

(541) 482-2780

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Susan C Berryhill, LPCNPI 1376677575

Title

Clinic Director

Phone

(541) 482-2780

Specialties & licenses 2

Addresses

Other names 1

• ADD/ADHD Clinic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Chipp Berryhill, L.P.C.

  • Professional Counselor
  • Ashland, OR
  • NPI 1376677575
  NPD (past) Authorized official
• Philip Miller, MS

  • Mental Health Counselor
  • Ashland, OR
  • NPI 1639342793
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1710150875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SISKIYOU BLVD",
            "address_2": "SUITE 9",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202125",
            "telephone_number": "541-482-2780",
            "fax_number": "541-482-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "541-482-2780",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C0060",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADD/ADHD Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Renae Polansky
• Fallon N Polich
• Erin Pollinger, D.C.
• Lauren Pollock
• Positive Behavior Advisor
• Carolyn J Potts Metzker, LPC
• Cindy Lynn Powell, M.P.T.
• Jaime Danielle Powell, LMT
• Nathaniel Mentor Powell
• William P Powell, D.O.

• Professional Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.