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HEIDI POTTER SUDRC
NPI 1093351017
Counselor - Addiction (Substance Use Disorder) in Venice, CA

Active since November 25, 2019
503 OCEAN FRONT WALK, VENICE, CA 90291(310) 392-3070(310) 452-8766 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Nov 25, 2019 (2 updates tracked since 2019).

About Heidi Potter Sudrc NPPES

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

HEIDI POTTER SUDRC (NPI 1093351017) is an individual addiction (substance use disorder) provider in Venice, California, licensed in California (16489) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1093351017
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHEIDI POTTERCredential: SUDRC
Location Address503 OCEAN FRONT WALKVenice, CA 90291-2403
Mailing Address503 Ocean Front WalkVenice, CA 90291-2403 · (310) 392-3070 · Fax (310) 452-8766
Phone(310) 392-3070
Fax(310) 452-8766
Sole ProprietorNo
Enumeration DateNovember 25, 2019
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1093351017 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 · 16489
503 OCEAN FRONT WALK, Venice, CA 90291
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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.

QUESEAN GREGORY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
DENNIS SMITH
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. HENRY R. GRAY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
CORY BARNES RADT
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. LUCIANO MACHADO II
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
JESUS BARAJAS
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MIGUEL ADRIAN RODRIGUEZ
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MRS. KRISTEN BRANCH WINSLOW LMFT, MBA
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070

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 Heidi Potter's NPI number?

The NPI number for Heidi Potter is 1093351017. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Heidi Potter located?

Heidi Potter practices at 503 Ocean Front Walk, Venice, CA 90291. The listed phone number is (310) 392-3070.

What is Heidi 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 Heidi Potter was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.