POTENTIALS, LLC
NPI 1710173802
Community/Behavioral Health in Astoria, OR

Q: What is Potentials, LLC's NPI number?

The NPI number for Potentials, LLC is 1710173802. It was assigned to this organization in the NPPES registry on September 21, 2007.

Q: What is Potentials, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Potentials, LLC was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 21, 2007

100 39TH ST PIER 39, ASTORIA, OR 97103(503) 325-2398(503) 325-5932 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Potentials, Llc NPPES

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

POTENTIALS, LLC (NPI 1710173802) is a healthcare organization registered as a community/behavioral health in Astoria, Oregon and active in the NPI registry since September 2007. The organization lists Dana S Dedolph, Director/therapist, as its authorized official.

NPPES Registry Identity

NPI1710173802

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePOTENTIALS, LLC

Location Address100 39TH ST PIER 39Astoria, OR 97103-2499

Mailing Address100 39th St Pier 39Astoria, OR 97103-2499 · (503) 325-2398 · Fax (503) 325-5932

Phone(503) 325-2398

Fax(503) 325-5932

Organization SubpartNo

Authorized OfficialDana S DedolphDirector/therapist · (503) 325-2398

Enumeration DateSeptember 21, 2007

✔ NPI 1710173802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in OR · C1489

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

100 39TH ST PIER 39, Astoria, OR 97103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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 Potentials, LLC's NPI number?

The NPI number for Potentials, LLC is 1710173802. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Potentials, LLC located?

Potentials, LLC is located at 100 39th St Pier 39, Astoria, OR 97103. The listed phone number is (503) 325-2398.

What is Potentials, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Potentials, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Potentials, LLC 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 Potentials, LLC was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.