SHANIQUA POTTER NPI 1679777072

NPI Information

  • NPI: 1679777072
  • Provider Name: SHANIQUA POTTER
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 230 YAGER AVE
    STE. #5
    LAGRANGE, KY
    ZIP 40031
  • Phone: (502) 589-1100

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NPI Details

Shaniqua Potter is a counselor in Lagrange, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shaniqua Potter NPI is 1679777072. 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:

230 YAGER AVE
STE. #5
LAGRANGE, KY
ZIP 40031-060
Phone: (502) 589-1100
Fax: (502) 589-8771

The enumeration date for this NPI number is 6/12/2007 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 Number License State Primary
1101Y00000XCounselorYes

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: 11/21/2025

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