MILLER POTOMA LPC
NPI 1609589035
Counselor - Professional in Erie, PA
Active since December 30, 2022
About Miller Potoma Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILLER POTOMA LPC (NPI 1609589035) is an individual professional provider in Erie, Pennsylvania, licensed in Pennsylvania (PC019444) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1609589035
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMILLER POTOMACredential: LPC
Location Address502 W 7TH ST STE 100Erie, PA 16502-1333
Mailing Address609 S 55th StPhiladelphia, PA 19143-2503 · (215) 645-2537 · Fax (267) 223-7061
Phone(215) 645-2537
Fax(267) 223-7061
Sole ProprietorNo
Enumeration DateDecember 30, 2022
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1609589035 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC019444
502 W 7TH ST STE 100, Erie, PA 16502
Other Names 1
Other Name (5)Miller Potoma
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.
Counselor (Addiction (Substance Use Disorder))
502 W 7TH ST STE 100
ERIE, PA 16502
ERIE, PA 16502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609589035, enumerated as an "individual" on December 30, 2022.
The provider is located at 502 W 7TH ST STE 100 ERIE, PA 16502 and the phone number is (215) 645-2537.
Counselor with taxonomy code 101YP2500X and a focus in Professional.