Organization Active NPI

Laurie Potie Counseling Services

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1811505084
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURIE POTIE COUNSELING SERVICES
Practice address
614 E Broadway St
Mount Pleasant, MI 48858-2728
Phone
(989) 506-8533
NPI assigned
Jul 14, 2020
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Laurie Potie
Title
Owner
Phone
(989) 506-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

614 E Broadway St
Mount Pleasant, MI 48858-2728

Mailing address

1418 Crestwood Dr
Mount Pleasant, MI 48858-6104
Phone (989) 506-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221129000725 MI Part B Supplier - Clinic/Group Practice 6103294962 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

614 E Broadway St
Mt Pleasant, MI 48858
Phone (989) 506-8533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1811505084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CRESTWOOD DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586104",
            "telephone_number": "989-506-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E BROADWAY ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582728",
            "telephone_number": "989-506-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE POTIE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "POTIE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-506-8533"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.