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WADE BAILEY POTTER
NPI 1053033266
Counselor in Broken Arrow, OK

Active since September 14, 2022
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 355-0993(918) 355-0995 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wade Bailey Potter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE BAILEY POTTER (NPI 1053033266) is an individual counselor in Broken Arrow, Oklahoma and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053033266
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameWADE BAILEY POTTER
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712 · (918) 355-0993 · Fax (918) 355-0995
Phone(918) 355-0993
Fax(918) 355-0995
Sole ProprietorYes
Enumeration DateSeptember 14, 2022
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1053033266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MADELINE MCCRATE LCSW
Social Worker (Clinical)
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Potter's NPI number?

The NPI number for Wade Potter is 1053033266. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Wade Potter located?

Wade Potter practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (918) 355-0993.

What is Wade Potter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wade Potter was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.