Carolyn J Potts Metzker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1792 Issued in OR

Practice address

565 A St
Suite 202
Ashland, OR 97520-2063

Phone

(541) 778-6518

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992831044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PARKSIDE DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201163",
            "telephone_number": "541-488-7957",
            "fax_number": "541-488-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 A ST",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202063",
            "telephone_number": "541-778-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS METZKER",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.