Active NPI
Victoria Marie Potocki, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1831556166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13168
- Practice address
- 5121 Ehrlich Rd
Building 101, Suite G
Tampa, FL 33624-2049 - Phone
- (352) 538-4203
- NPI assigned
- Jan 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH13168 | FL | Primary |
Addresses
Primary practice location
5121 Ehrlich Rd
Building 101, Suite G
Tampa, FL 33624-2049
Mailing address
PO Box 340166
Tampa, FL 33694-0166
Phone (352) 538-4203
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 |
|---|---|---|---|
| MH13168 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1831556166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340166",
"city": "TAMPA",
"state": "FL",
"postal_code": "336940166",
"telephone_number": "352-538-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 EHRLICH RD",
"address_2": "BUILDING 101, SUITE G",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242049",
"telephone_number": "352-538-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTOCKI",
"first_name": "VICTORIA",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-17",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.