TESSA MICHELE POTTER
NPI 1144681453
Counselor - Professional in Tigard, OR

Active since March 14, 2016PECOS Enrolled
9735 SW SHADY LN, TIGARD, OR 97223(971) 233-2702 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, Aug 9, 2018, Mar 14, 2016 (3 updates tracked since 2016).

About Tessa Michele Potter NPPES

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

TESSA MICHELE POTTER (NPI 1144681453) is an individual professional provider in Tigard, Oregon, licensed in Oregon (C8072) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1144681453
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTESSA MICHELE POTTER
Location Address9735 SW SHADY LNTigard, OR 97223-5481
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 14, 2016
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1144681453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C8072
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9735 SW SHADY LN, Tigard, OR 97223

Other Names 1

Former Name (1)Tessa Michele James

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tessa Michele Potter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517435811
PECOS Enrollment IDI20260505003513
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Physician Assistant (Medical)
9735 SW SHADY LN, #102
TIGARD, OR 97223
Specialist
9735 SW SHADY LN, #102
TIGARD, OR 97223
Family Medicine
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Dentist
9735 SW SHADY LN, SUITE #307
TIGARD, OR 97223
Clinic/Center (Primary Care)
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Physical Therapist
9735 SW SHADY LN, SUITE 100
TIGARD, OR 97223
Acupuncturist
9735 SW SHADY LN, SUITE 306
TIGARD, OR 97223
Massage Therapist
9735 SW SHADY LN, SUITE 103
TIGARD, OR 97223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144681453, enumerated as an "individual" on March 14, 2016.

The provider is located at 9735 SW SHADY LN TIGARD, OR 97223 and the phone number is (971) 233-2702.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.