CHRISTINA SARAH POTTER LMFT - NPI 1982355079 - Marriage & Family Therapist in Coon Rapids, MN

Q: What is Christina Potter's NPI number?

The NPI number for Christina Potter is 1982355079. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Christina Potter's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Potter was last updated on October 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Christina Sarah Potter Lmft NPPES

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

CHRISTINA SARAH POTTER LMFT (NPI 1982355079) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (4246) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982355079

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCHRISTINA SARAH POTTERCredential: LMFT

Location Address299 COON RAPIDS BLVD NW STE 100Coon Rapids, MN 55433-5869

Mailing Address223 Byrondale AveWayzata, MN 55391-1137 · (612) 559-4037

Phone(612) 559-4037

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 11, 2022

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1982355079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 4246

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

299 COON RAPIDS BLVD NW STE 100, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 12125 E Hennepin Ave Ste 100Minneapolis, MN 55413-1763 · Phone (612) 559-4037

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Christina Sarah Potter Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002381977

PECOS Enrollment IDI20260408001499

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 11

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

VAYDA MENTAL HEALTH COLLABORATIVE PLLC

Psychologist (Clinical)