1. Home
  2. Directory
  3. Washington
  4. Oak Harbor
  5. Counselor
  6. NPI Profile

MRS. CARRIE ELIZABETH POTTER
NPI 1063989853
Counselor in Oak Harbor, WA

Active since October 30, 2018Opted out of Medicare · through Sep 10, 2026
32650 SR 20, SUITE C206, OAK HARBOR, WA 98277(425) 212-4200 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Oct 30, 2018 (2 updates tracked since 2018).

About Mrs. Carrie Elizabeth Potter NPPES

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

MRS. CARRIE ELIZABETH POTTER (NPI 1063989853) is an individual counselor in Oak Harbor, Washington, licensed in Washington (MC60956104) and active in the NPI registry since October 2018. She has opted out of Medicare through September 10, 2026.

NPPES Registry Identity

NPI1063989853
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. CARRIE ELIZABETH POTTER
Location Address32650 SR 20, SUITE C206Oak Harbor, WA 98277
Mailing Address32650 Sr 20, Suite C206Oak Harbor, WA 98277 · (425) 736-8375
Phone(425) 212-4200
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1063989853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · MC60956104
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.
32650 SR 20, Oak Harbor, WA 98277
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Carrie Elizabeth Potter has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 10, 2024 through September 10, 2026.

Opt-Out Effective DateSeptember 10, 2024
Opt-Out In Effect ThroughSeptember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

JESSICA YOUNG
Behavior Technician
32650 SR 20, E204
OAK HARBOR, WA 98277
Island County (360) 279-9000
EVEN FLOW, LLC
Chiropractor
32650 SR 20, SUITE C-106
OAK HARBOR, WA 98277
Island County (360) 279-2000
LEA MARIE JONES
Behavior Technician
32650 SR 20, SUITE C211
OAK HARBOR, WA 98277
Island County (818) 345-2345
RACHEL RESTREPO
Counselor (Mental Health)
32650 SR 20, BLDG E SUITE #108
OAK HARBOR, WA 98277
Island County (360) 682-4100
MEGAN N SMITH
Behavior Technician
32650 SR 20, UNIT E108
OAK HARBOR, WA 98277
Island County (360) 279-9000
LAURIE ANN ALVAREZ
Counselor
32650 SR 20, BLDG E, #108
OAK HARBOR, WA 98277
Island County (360) 682-4122
LANCE D KEYES DDS
Dentist (Oral and Maxillofacial Surgery)
32650 SR 20, E106
OAK HARBOR, WA 98277
Island County (360) 240-9400

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 Carrie Potter's NPI number?

The NPI number for Carrie Potter is 1063989853. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Carrie Potter located?

Carrie Potter practices at 32650 Sr 20 Suite C206, Oak Harbor, WA 98277. The listed phone number is (425) 212-4200.

What is Carrie Potter's specialty?

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

Is Carrie Potter enrolled in Medicare?

No. Carrie Potter has opted out of Medicare through September 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carrie Potter was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.