PHYLLIS ANN POTTER MS, LPC, NCC, RPT
NPI 1508294166
Counselor - Mental Health in Fayetteville, NC

Active since October 17, 2013PECOS EnrolledAccepts Medicare Assignment
930 CAMBRIDGE ST, SUITE 109, FAYETTEVILLE, NC 28303(910) 484-2202(910) 484-2203 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis Ann Potter Ms, Lpc, Ncc, Rpt NPPES

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

PHYLLIS ANN POTTER MS, LPC, NCC, RPT (NPI 1508294166) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (10432) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1508294166
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS ANN POTTERCredential: MS, LPC, NCC, RPT
Location Address930 CAMBRIDGE ST, SUITE 109Fayetteville, NC 28303-9625
Mailing AddressPo Box 1734Clinton, NC 28329-1734 · (910) 299-0848 · Fax (910) 299-0850
Fax(910) 484-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 17, 2013
Last NPPES UpdateJune 30, 2016
NPI 1508294166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 10432
930 CAMBRIDGE ST, Fayetteville, NC 28303

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 and accepts Medicare assignment

Phyllis Ann Potter Ms, Lpc, Ncc, Rpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527594837
PECOS Enrollment IDI20241210004038
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 7

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

Community/Behavioral Health
930 CAMBRIDGE ST, SUITE 103
FAYETTEVILLE, NC 28303
Counselor (Mental Health)
930 CAMBRIDGE ST
FAYETTEVILLE, NC 28303
In Home Supportive Care
930 CAMBRIDGE ST, SUITE 105
FAYETTEVILLE, NC 28303
Home Health
930 CAMBRIDGE ST, STE 200
FAYETTEVILLE, NC 28303
Counselor (Professional)
930 CAMBRIDGE ST, SUITE 108
FAYETTEVILLE, NC 28303
Behavior Technician
930 CAMBRIDGE ST
FAYETTEVILLE, NC 28303
Counselor
930 CAMBRIDGE ST, SUITE 108
FAYETTEVILLE, NC 28303

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 Phyllis Potter's NPI number?

The NPI number for Phyllis Potter is 1508294166. It was assigned to this individual provider in the NPPES registry on October 17, 2013.

Where is Phyllis Potter located?

Phyllis Potter practices at 930 Cambridge St Suite 109, Fayetteville, NC 28303. The listed phone number is (910) 484-2202.

What is Phyllis Potter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phyllis Potter enrolled in Medicare?

Yes. Phyllis Potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phyllis Potter accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Phyllis 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 Phyllis Potter was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.