Active NPI
Anthony Potter, LMFT, LPC
- Marriage & Family Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001668
- Practice address
- 2255 Cumberland Pkwy SE
BLDG 500; Suite 300
Atlanta, GA 30339-4515 - Phone
- (404) 592-7928
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011271 | GA | |
| Marriage & Family Therapist | 106H00000X | AMT000381 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001668 | GA | Primary |
Addresses
Primary practice location
2255 Cumberland Pkwy SE
BLDG 500; Suite 300
Atlanta, GA 30339-4515
Mailing address
3144 Parc CT SW
Atlanta, GA 30311-5206
Phone (404) 849-9906
Other practice location 1
1291 Stanley Rd NW
Kennesaw, GA 30152-4359
Phone (770) 427-0147 ext. 2462
Other practice location 2
523 Dixie St
Carrollton, GA 30117-3870
Phone (770) 812-8349
Other practice location 3
2710 Jefferson St Ste 1
Austell, GA 30168-4050
Phone (770) 276-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003228543A | Medicaid | GA |
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 |
|---|---|---|---|
| LPC011271 | GA | MD | Professional Counselor |
| AMT000381 | GA | MD | Marriage & Family Therapist |
| MFT001668 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alp Therapy Services | Current | Accepting new patients |
Locations
2255 Cumberland Pkwy SE
Bldg 500
Atlanta, GA 30339
Phone (404) 919-2355
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1205573052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1730609843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3144 PARC CT SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115206",
"telephone_number": "404-849-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 CUMBERLAND PKWY SE",
"address_2": "BLDG 500; SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394515",
"telephone_number": "404-592-7928"
}
],
"practiceLocations": [
{
"address_1": "1291 Stanley Rd NW",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301524359",
"country_code": "US",
"telephone_number": "770-427-0147 x2462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "523 Dixie St",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "GA",
"postal_code": "301173870",
"country_code": "US",
"telephone_number": "770-812-8349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2710 Jefferson St Ste 1",
"address_purpose": "LOCATION",
"city": "Austell",
"state": "GA",
"postal_code": "301684050",
"country_code": "US",
"telephone_number": "770-276-9303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "ANTHONY",
"credential": "LMFT, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011271",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "AMT000381",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003228543A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.