MS. ASHANTI IDA POTTER
NPI 1174116552
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since February 16, 2021
2575 NW KLINE ST., ROSEBURG, OR 97471(541) 673-3504 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ashanti Ida Potter NPPES

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

MS. ASHANTI IDA POTTER (NPI 1174116552) is an individual addiction (substance use disorder) provider in Roseburg, Oregon and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1174116552
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. ASHANTI IDA POTTER
Location Address2575 NW KLINE ST.Roseburg, OR 97471
Mailing Address2575 Nw Kline StRoseburg, OR 97471-8827 · (541) 673-3504
Sole ProprietorYes
Enumeration DateFebruary 16, 2021
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1174116552 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
2575 NW KLINE ST., Roseburg, OR 97471

Other Identifiers 1

MedicaidRG600X5YOR

Accepted Insurance

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 Ashanti Potter's NPI number?

The NPI number for Ashanti Potter is 1174116552. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Ashanti Potter located?

Ashanti Potter practices at 2575 NW Kline St., Roseburg, OR 97471. The listed phone number is (541) 673-3504.

What is Ashanti Potter's specialty?

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

What insurance does Ashanti Potter accept?

Health plans from Moda Health Plan, Inc. list Ashanti Potter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashanti Potter was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.