Maria Potter, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.003992 Issued in IL

Practice address

13305 S Ridgeland Ave Unit C
Palos Heights, IL 60463-1814

Phone

(708) 907-5149

Fax

(708) 907-5294

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Maria Potter Counseling Services, PLLC

  • Professional Counselor
  • Palos Heights, IL
  • NPI 1720573983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1851784524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 S RIDGELAND AVE UNIT C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631814",
            "telephone_number": "708-907-5149",
            "fax_number": "708-907-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 S RIDGELAND AVE UNIT C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631814",
            "telephone_number": "708-907-5149",
            "fax_number": "708-907-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sendsafe.to/maya8501@msn.com",
            "affiliation": "N",
            "address_1": "13305 S Ridgeland Ave Unit C",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Nicole Polk, RD, LDN
• Melissa Marie Popp, PTA
• Cathlin B Poronsky, R.N., A.P.N.
• Gary L Porter, OD
• Sharina Deon Porter, LPC
• Pradeep a Keni M D S C
• Rory John Pranger, DDS MS
• Prarie State Rehabilitation, LLC
• Premier Neurology Consultants LLC
• Premiere General Medicine S C

• Professional Counselor in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.