Kimberly Jo Potter, LPC is a
Counselor based in Overgaard, Arizona. Kimberly Jo Potter is licensed to practice in Arizona (license number LPC-21329) and her current practice location is
2931 Highway 260, Overgaard, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 892-5243.
NPI number for Kimberly Jo Potter is 1467130518 and her current mailing address is 1024 Ponderosa Dr, Show Low, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467130518.
Healthcare Provider's Profile
Full Name | Kimberly Jo Potter |
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Gender | Female |
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Speciality | Counselor |
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Location | 2931 Highway 260, Overgaard, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467130518
- Provider Enumeration Date: 07/10/2023
- Last Update Date: 05/22/2024
Medical Identifiers
Medical identifiers for Kimberly Jo Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467130518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LPC-21329 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Jo Potter, LPC 1024 Ponderosa Dr, Show Low, AZ 85901-8260 Ph: (928) 358-2504 | Kimberly Jo Potter, LPC 2931 Highway 260, Overgaard, AZ 85933 Ph: (928) 892-5243 |
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