GARY O. POTTER LMHP NPI 1326159930

NPI Information

NPI: 1326159930
Provider Name: GARY O. POTTER, LMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3720 AVENUE A
SUITE E
KEARNEY, NE
ZIP 68847
Phone: (308) 234-5644
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Gary O. Potter, LMHP is a mental health counselor in Kearney, NE. Gary O. Potter, LMHP NPI is 1326159930. 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:

3720 AVENUE A
SUITE E
KEARNEY, NE
ZIP 68847-169
Phone: (308) 234-5644
Fax: (308) 234-5652

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/5/2008.

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	101YM0800X	Counselor	Mental Health	2163	NEBRASKA	Yes

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	470808292	OTHER	NEBRASKA	MIDLANDS CHOICE
2	486558000	OTHER	NEBRASKA	MAGELLAN MIS
3	470808292	OTHER	NEBRASKA	TRICARE
4	84793	OTHER	NEBRASKA	BC/BS
5	47080829226	MEDICAID	NEBRASKA

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: 5/5/2024

NPI Synchronization or Removal

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