Rebecca L Potenberg, MS, T-LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

115404 Issued in IA

Practice address

2800 Eastern Ave
Davenport, IA 52803-2012

Phone

(563) 326-6431

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Family Resources Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Davenport, IA
  • NPI 1275598054
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1982304499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 19TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654407",
            "telephone_number": "708-268-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032012",
            "telephone_number": "563-326-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENBERG",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "MS, T-LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "115404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Rose Pollock, M.S., CCC-SLP
• Christopher Michael Posey Sr., D.O.
• Emily E Pospischil, DPT
• Lauren Nicole Posten
• Leslie A Poston, ARNP
• Powell Chiro LLC
• Jolene Melissa Powell, D.C.
• Morgan Nicole Powers, MD
• Chetan Prasad, M.D.
• Jennifer Lynn Prather, MD

• Mental Health Counselor in Davenport, IA
• Providers in Davenport, 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 Mar 6, 2023; 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.