Daniel Robertson Potter

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC017055 Issued in PA

Practice address

60 Hatch Run Rd Ste 4
North Warren, PA 16365-5249

Phone

(148) 176-8088

NPI assigned

Mar 25, 2014

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1861819062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HATCH RUN RD STE 4",
            "city": "NORTH WARREN",
            "state": "PA",
            "postal_code": "163655249",
            "telephone_number": "148-176-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HATCH RUN RD STE 4",
            "city": "NORTH WARREN",
            "state": "PA",
            "postal_code": "163655249",
            "telephone_number": "148-176-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "DANIEL",
        "middle_name": "ROBERTSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017055",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale E Buonocore, PH.D.
• Isabelita Cesar, M.D.
• Joseph Francis Fire, R.PH
• Danny Liu, M.D.
• Pennsylvania Department of Human Services
• Asha Prabhu, MD
• Reynaldo Puesan, M.D.
• Nagaraj S.L. Rao, M.D.
• Andrea J Richard, D.O.
• Raineldo C Saquin, M.D.

• Professional Counselor in North Warren, PA
• Providers in North Warren, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.