Pothos Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

POTHOS HEALTH

Practice address

5326 Enchanted LN
Dallas, TX 75227-1421

Phone

(386) 479-3204

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Kayla Meyer, LCSWNPI 1164067542

Title

Clinical Care Director/ Co-Founder

Phone

(386) 479-3204

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Meyer, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1164067542
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1851075683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MCKINNEY AVE STE 155",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041488",
            "telephone_number": "469-319-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 ENCHANTED LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271421",
            "telephone_number": "386-479-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTHOS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CLINICAL CARE DIRECTOR/ CO-FOUNDER",
        "authorized_official_telephone_number": "386-479-3204",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Posture Perfect Wellness Center LLC
• Ashley Caroline Poteete
• Renee M Potera, M.D.
• Stefeena Rachel Pothen, FNP-C
• Tanushri Pothini
• Wendi Shanahan Pothukanuri, FNP
• Bridgette Renee Potier, PHARM D
• Whitney Kristina Potomac, D.O.
• Dana Potter, M.D.
• Jason K Potter, M.D., D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.