CHARITY POTTER LCPC, LSW
NPI 1952420077
Counselor - Professional in Pocatello, ID

Active since March 28, 2007PECOS Enrolled
353 N 4TH AVE, SUITE 110, POCATELLO, ID 83201(208) 233-7832 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charity Potter Lcpc, Lsw NPPES

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

CHARITY POTTER LCPC, LSW (NPI 1952420077) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LCPC-4601) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952420077
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHARITY POTTERCredential: LCPC, LSW
Location Address353 N 4TH AVE, SUITE 110Pocatello, ID 83201-6390
Mailing AddressPo Box 4908Pocatello, ID 83205-4908 · (208) 233-7832
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 25, 2013
NPI 1952420077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LCPC-4601
Also ListedSocial WorkerTaxonomy 104100000X · License LSW-25961 (ID)
353 N 4TH AVE, Pocatello, ID 83201

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 (PECOS)

Charity Potter Lcpc, Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668712704
PECOS Enrollment IDI20240102002429
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 15

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

Home Health
353 N 4TH AVE, SUITE 205
POCATELLO, ID 83201
Counselor
353 N 4TH AVE, STE 110
POCATELLO, ID 83201
Social Worker
353 N 4TH AVE, STE 110
POCATELLO, ID 83201
Family Medicine
353 N 4TH AVE
POCATELLO, ID 83201
Counselor (Mental Health)
353 N 4TH AVE, STE 110
POCATELLO, ID 83201
Social Worker
353 N 4TH AVE, SUITE 110
POCATELLO, ID 83201
Counselor (Professional)
353 N 4TH AVE, STE 110
POCATELLO, ID 83201
Speech-Language Pathologist
353 N 4TH AVE, SUITE 110
POCATELLO, ID 83201

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 Charity Potter's NPI number?

The NPI number for Charity Potter is 1952420077. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Charity Potter located?

Charity Potter practices at 353 N 4th Ave Suite 110, Pocatello, ID 83201. The listed phone number is (208) 233-7832.

What is Charity Potter's specialty?

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

Is Charity Potter enrolled in Medicare?

Yes. Charity Potter is registered in the Medicare PECOS enrollment system.

What insurance does Charity Potter accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Charity 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 Charity Potter was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.