Jennifer Marie Potts, LPC, LICDC | |
6895 E Main St, Reynoldsburg, OH 43068-2289 | |
(614) 845-7500 | |
Not Available |
Full Name | Jennifer Marie Potts |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6895 E Main St, Reynoldsburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679096184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162131 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.2303589 (Ohio) | Primary |
Entity Name | Lighthouse Behavioral Health Solutions, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
Mailing Address | Practice Location Address |
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Jennifer Marie Potts, LPC, LICDC 203 N Main St, New Lexington, OH 43764-1264 Ph: (740) 342-1991 | Jennifer Marie Potts, LPC, LICDC 6895 E Main St, Reynoldsburg, OH 43068-2289 Ph: (614) 845-7500 |
Melissa Dolin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Brice Rd Ste B, Reynoldsburg, OH 43068 Phone: 614-239-9965 | |
Ariana Vashti Dukes, CDCA PRELIMINARY Counselor Medicare: Not Enrolled in Medicare Practice Location: 3145 Dewbourne Dr, Reynoldsburg, OH 43068 Phone: 614-556-6818 | |
Lalita Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Hanna Jurcisin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Michelle Halderman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Tina Fox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-626-2696 | |
Gail Ukockis, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 |