Individual provider Active NPI

Cynthia Potter, MA, LISAC, CSP, NCC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1841705043
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
155307 Issued in AZ
Practice address
10630 N Thunder Hill PL
Tucson, AZ 85737-7006
Phone
(520) 954-5454
NPI assigned
Dec 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 155307 AZ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 155307 AZ

Addresses

Primary practice location

10630 N Thunder Hill PL
Tucson, AZ 85737-7006

Mailing address

10630 N Thunder Hill PL
Tucson, AZ 85737-7006
Phone (520) 954-5454

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241003002678 AZ Practitioner - Mental Health Counselor 0345771127 Practice locations: Oro Valley, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10630 N Thunder Hill PL
Oro Valley, AZ 85737-7006
Phone (520) 954-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
155307AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Paradox, LLC Current Accepting new patients
A Living Room on Broadway, PLLC Addiction (Substance Use Disorder) PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1841705043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 N THUNDER HILL PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377006",
            "telephone_number": "520-954-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 N THUNDER HILL PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857377006",
            "telephone_number": "520-954-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CYNTHIA",
        "credential": "MA, LISAC, CSP, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "155307",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "155307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.