Active NPI
Nicholas Michael Potter, MA
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1851806699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401226398
- Practice address
- 1055 Gezon Pkwy SW
Grand Rapids, MI 49509-9542 - Phone
- (616) 773-2908
- Fax
- (616) 532-3046
- NPI assigned
- Dec 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-44099 | MI | |
| Mental Health Counselor | 101YM0800X | 6451023025 | MI | |
| Professional Counselor | 101YP2500X | 6401226398 | MI | Primary |
Addresses
Primary practice location
1055 Gezon Pkwy SW
Grand Rapids, MI 49509-9542
Mailing address
1055 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone (616) 773-2908
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023025 | MI | MD | Mental Health Counselor |
| RBT-17-44099 | MI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1851806699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 GEZON PKWY SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495099542",
"telephone_number": "616-773-2908",
"fax_number": "616-532-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 GEZON PKWY SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495099542",
"telephone_number": "616-773-2908",
"fax_number": "616-532-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": "RBT-17-44099",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451023025",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401226398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.