MR. NICHOLAS MICHAEL POTTER MA NPI 1851806699

NPI Information

NPI: 1851806699
Provider Name: MR. NICHOLAS MICHAEL POTTER, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1055 GEZON PKWY SW
GRAND RAPIDS, MI
ZIP 49509
Phone: (616) 773-2908
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MR. Nicholas Michael Potter, MA is a mental health counselor in Grand Rapids, MI. MR. Nicholas Michael Potter, MA NPI is 1851806699. 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:

1055 GEZON PKWY SW
GRAND RAPIDS, MI
ZIP 49509-542
Phone: (616) 773-2908
Fax: (616) 532-3046

The enumeration date for this NPI number is 12/1/2017 and was last updated on 5/20/2023.

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	106S00000X	Behavior Technician		RBT-17-44099	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	6451023025	MICHIGAN	Yes

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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