MS. KIMBERLY ANN POTTER MA LIMHP NPI 1609940402

NPI Information

NPI: 1609940402
Provider Name: MS. KIMBERLY ANN POTTER, MA,, LIMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
415 S 25TH ST
OMAHA, NE
ZIP 68124
Phone: (402) 742-8857
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MS. Kimberly Ann Potter, MA,, LIMHP is a mental health counselor in Omaha, NE. MS. Kimberly Ann Potter, MA,, LIMHP NPI is 1609940402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 S 25TH ST
OMAHA, NE
ZIP 68124
Phone: (402) 742-8857
Fax: (402) 477-0081

The enumeration date for this NPI number is 11/20/2006 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	P-994	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	2432	NEBRASKA	Yes
3	101YM0800X	Counselor	Mental Health	114	NEBRASKA	No
4	101YP2500X	Counselor	Professional	1330	NEBRASKA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47052851500	MEDICAID	NEBRASKA
2	238599	OTHER	NEBRASKA	MIDLANDS CHOICE
3	47052851581	MEDICAID	NEBRASKA
4	84988	OTHER	NEBRASKA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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