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MS. PENNY LOUISE POTTER SUDCC
NPI 1063920601
Counselor - Addiction (Substance Use Disorder) in Rockledge, FL

Active since January 17, 2018
1770 CEDAR ST., ROCKLEDGE, FL 32955(321) 890-1500(707) 526-0527 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2022, Jun 16, 2018, Jan 17, 2018 (3 updates tracked since 2018).

About Ms. Penny Louise Potter Sudcc NPPES

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

MS. PENNY LOUISE POTTER SUDCC (NPI 1063920601) is an individual addiction (substance use disorder) provider in Rockledge, Florida, licensed in California (12872-R) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1063920601
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. PENNY LOUISE POTTERCredential: SUDCC
Location Address1770 CEDAR ST.Rockledge, FL 32955
Mailing Address349 Harmony PlaceCocoa, FL 32926 · (707) 280-1705 · Fax (707) 526-0527
Phone(321) 890-1500
Fax(707) 526-0527
Sole ProprietorYes
Enumeration DateJanuary 17, 2018
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1063920601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 12872-R
1770 CEDAR ST., Rockledge, FL 32955
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Other Names 1

Former Name (1)Penny Louise Treichel Sudcc

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 Penny Potter's NPI number?

The NPI number for Penny Potter is 1063920601. It was assigned to this individual provider in the NPPES registry on January 17, 2018. The provider is also known as Penny Louise Treichel Sudcc.

Where is Penny Potter located?

Penny Potter practices at 1770 Cedar St., Rockledge, FL 32955. The listed phone number is (321) 890-1500.

What is Penny Potter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Penny Potter was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.