Jessica A Pottorff, MS, MA, CADC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

115248 Issued in IA

Practice address

8450 Hickman Rd Ste 10
Clive, IA 50325-4307

Phone

(713) 837-6294

Fax

(515) 608-4612

NPI assigned

Oct 23, 2018

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

Medicare fee-for-service enrollment

Enrolled in IA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

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.

• Restoration Counseling LLC

  • Mental Health Counselor
  • Clive, IA
  • NPI 1992519805
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1922574300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 HICKMAN RD STE 10",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254307",
            "telephone_number": "515-643-6563",
            "fax_number": "515-643-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 HICKMAN RD STE 10",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254307",
            "telephone_number": "713-837-6294",
            "fax_number": "515-608-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTORFF",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS, MA, CADC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "115248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Pokornowski
• Possibilities Therapy LLC
• Benjamin Pottebaum, D.O.
• Ethan Pottebaum, DC
• Sarah Potter, MS, BCBA
• Alicia Pralle, M.A., CCC-SLP
• Rachel Ann Berger Preisser, M.D.
• Preventative Health Clinic Inc
• Profound Pathways
• Adam Puls

• Mental Health Counselor in Clive, IA
• Providers in Clive, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.