Chestin Joseph Potter

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

200 E 3Rd Ave
Ellensburg, WA 98926-3347

Phone

(509) 925-9821

NPI assigned

Nov 3, 2023

Sex

Male

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

Practice roles

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.

• The Valley Alcohol Council

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ellensburg, WA
  • NPI 1043332133
  NPD (past)

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1982477618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 3RD AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263347",
            "telephone_number": "509-925-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263347",
            "telephone_number": "509-925-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CHESTIN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Pierce
• Lindsey Pinger, PHARM.D.
• Pinnacle Health Care LLC
• Planned Parenthood of Greater Washington & North Idaho
• Cynthia R Portera, PT
• Kellie Jean Power
• Andrea Michelle Price, D.D.S.
• Kyra Beth Pugh
• Sarah Rae
• Cole Eldon Ralph

• Peer Specialist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.