Audra Potz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112768 Issued in CA

Practice address

4419 Van Nuys Blvd Ste 406
Sherman Oaks, CA 91403-5743

Phone

(323) 539-3552

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for New Directions, Inc.

  • Mental Health Counselor
  • Laguna Hills, CA
  • NPI 1578121190
  Medicare reassignment NPD
• Stephen M Pumphrey Licensed Clinical Social Workers Inc

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1386862969
  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1811550908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035743",
            "telephone_number": "323-539-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035743",
            "telephone_number": "323-539-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTZ",
        "first_name": "AUDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Porter
• John Porterfield, MFT
• Lucy Giovanna Portillo
• Helena Mica Poteshman, PSY.D.
• Emilee Potter
• Pouldar Kimia and Lorenz Dental Partnership
• Edwin Jakob Pouldar, DDS
• Ari Pouya
• Lisa Susanne Powell, PSYCHOLOGIST
• Susan Marie Powell, PA-C

• Marriage & Family Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.