Active NPI
George Potter, CRCC
- Counselor
- Albuquerque, NM
National Provider Identifier
1861552655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00047370
- Practice address
- 2527 Virginia St NE
Ste. a
Albuquerque, NM 87110-4692 - Phone
- (505) 291-6314
- Fax
- (505) 275-0296
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00047370 | NM | Primary |
Addresses
Primary practice location
2527 Virginia St NE
Ste. a
Albuquerque, NM 87110-4692
Mailing address
2527 Virginia St NE
Ste. a
Albuquerque, NM 87110-4692
Phone (505) 291-6314
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 |
|---|---|---|---|
| 00047370 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861552655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 VIRGINIA ST NE",
"address_2": "STE. A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104692",
"telephone_number": "505-291-6314",
"fax_number": "505-275-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 VIRGINIA ST NE",
"address_2": "STE. A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104692",
"telephone_number": "505-291-6314",
"fax_number": "505-275-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "CRCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "00047370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.