MATTHEW ALLEN POTTER LCPC
NPI 1881904266
Counselor - Professional in Orland Park, IL

Active since October 19, 2010PECOS EnrolledAccepts Medicare Assignment
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462(800) 361-6880(708) 845-5505 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Matthew Allen Potter Lcpc NPPES

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

MATTHEW ALLEN POTTER LCPC (NPI 1881904266) is an individual professional provider in Orland Park, Illinois, licensed in Illinois (180.005050) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1881904266
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW ALLEN POTTERCredential: LCPC
Location Address15127 S 73RD AVE, SUITE GOrland Park, IL 60462-4398
Mailing Address15127 S 73rd Ave, Suite GOrland Park, IL 60462-4398 · (800) 361-6880 · Fax (708) 845-5505
Fax(708) 845-5505
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 19, 2010
Last NPPES UpdateNovember 4, 2014
✔ NPI 1881904266 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 IL · 180.005050
15127 S 73RD AVE, Orland Park, IL 60462

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Allen Potter Lcpc 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 ID2062860430
PECOS Enrollment IDI20240116000707
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
15127 S 73RD AVE, G
Orland Park, IL 60462
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
15127 S 73RD AVE, G
ORLAND PARK, IL 60462
Psychologist (Clinical)
15127 S 73RD AVE, SUITE G
ORLAND PARK, IL 60462
Social Worker (Clinical)
15127 S 73RD AVE, SUITE G
ORLAND PARK, IL 60462
Social Worker (Clinical)
15127 S 73RD AVE, SUITE G
ORLAND PARK, IL 60462
Social Worker (Clinical)
15127 S 73RD AVE, SUITE G
ORLAND PARK, IL 60462
Community/Behavioral Health
15127 S 73RD AVE, SUITE C
ORLAND PARK, IL 60462
Counselor (Mental Health)
15127 S 73RD AVE, SUITE C
ORLAND PARK, IL 60462
Counselor (Professional)
15127 S 73RD AVE, SUITE G
ORLAND PARK, IL 60462

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 Matthew Potter's NPI number?

The NPI number for Matthew Potter is 1881904266. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Matthew Potter located?

Matthew Potter practices at 15127 S 73rd Ave Suite G, Orland Park, IL 60462. The listed phone number is (800) 361-6880.

What is Matthew Potter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Potter enrolled in Medicare?

Yes. Matthew 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.

Which organization bills Medicare for Matthew Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Potter reassigns Medicare benefits to Chicago Christian Counseling Center Inc (Orland Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Potter accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Matthew 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 Matthew Potter was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.