Mrs Susan Lee Potthast, LMHC,LMT is a
Counselor - Mental Health based in Blue Grass, Iowa. Mrs Susan Lee Potthast is licensed to practice in Iowa (license number 01005) and her current practice location is
14542 61st Ave., Blue Grass, Iowa. She can be reached at her office (for appointments etc.) via phone at
(563) 381-4649.
NPI number for Mrs Susan Lee Potthast is 1053562793 and her current mailing address is 14542 61st Ave., Blue Grass, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053562793.
Healthcare Provider's Profile
Full Name | Mrs Susan Lee Potthast |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 14542 61st Ave., Blue Grass, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053562793
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 09/30/2008
Medical Identifiers
Medical identifiers for Mrs Susan Lee Potthast such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053562793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 01005 (Iowa) | 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. Mrs Susan Lee Potthast 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 |
Mrs Susan Lee Potthast, LMHC,LMT 14542 61st Ave., Blue Grass, IA 52726-9592 Ph: (563) 381-4649 | Mrs Susan Lee Potthast, LMHC,LMT 14542 61st Ave., Blue Grass, IA 52726-9592 Ph: (563) 381-4649 |
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