MR. KENNETH CHARLES POTTS LCPC LMFT LSW NPI 1225120884

NPI Information

NPI: 1225120884
Provider Name: MR. KENNETH CHARLES POTTS, LCPC, LMFT, LSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1819 BAY SCOTT CIR STE 109
NAPERVILLE, IL
ZIP 60540
Phone: (630) 357-2456
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MR. Kenneth Charles Potts, LCPC, LMFT, LSW is a professional counselor in Naperville, IL. MR. Kenneth Charles Potts, LCPC, LMFT, LSW NPI is 1225120884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1819 BAY SCOTT CIR STE 109
NAPERVILLE, IL
ZIP 60540-130
Phone: (630) 357-2456
Fax: (630) 357-2482

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/8/2007.

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 State	Primary
1	101YP2500X	Counselor	Professional	ILLINOIS	Yes
2	1041C0700X	Social Worker	Clinical	ILLINOIS	X
3	106H00000X	Marriage & Family Therapist		ILLINOIS	X

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: 4/28/2024

NPI Synchronization or Removal

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