Potters Hand Integrative Care LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

POTTERS HAND INTEGRATIVE CARE LLC

Practice address

13209 S 26TH Ave
Bellevue, NE 68123-1935

Phone

(402) 350-2803

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Jaisy Girija KumarNPI 1851145254

Title

Ceo & Founder

Phone

(402) 350-2803

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaisy Girija Kumar, LIMHP, LADC, LPC

  • Mental Health Counselor
  • Bellevue, NE
  • NPI 1851145254

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1922845379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13209 S 26TH AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13209 S 26TH AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231935",
            "telephone_number": "402-350-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTERS HAND INTEGRATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "GIRIJA KUMAR",
        "authorized_official_first_name": "JAISY",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "402-350-2803"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Portwood
• Miriam Post
• Casandra Potter
• Kellie Lynn Potter
• Tautyana Potter
• Paula Pouliot
• Powerback Rehabilitation LLC
• Powers Foot & Ankle PC
• George Loring Pratt, D.O.
• Pamela Prazan, LMHP

• Mental Health Counselor in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.