COREY POTTER PMHNP-BC, LMHC
NPI 1992182414
Counselor - Mental Health in Providence, RI

Q: What is Corey Potter's NPI number?

The NPI number for Corey Potter is 1992182414. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Corey Potter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Corey Potter was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 May 05, 2015PECOS EnrolledAccepts Medicare Assignment

1 RICHMOND SQ STE 300E, PROVIDENCE, RI 02906(401) 349-3131(401) 921-5109 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Feb 28, 2023, Aug 24, 2022 (3 updates tracked since 2022).

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About Corey Potter Pmhnp-bc, Lmhc NPPES

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

COREY POTTER PMHNP-BC, LMHC (NPI 1992182414) is an individual mental health provider in Providence, Rhode Island, licensed in Florida (APRN11020548) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992182414

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCOREY POTTERCredential: PMHNP-BC, LMHC

Location Address1 RICHMOND SQ STE 300EProvidence, RI 02906-5160

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600 · Fax (352) 565-1044

Phone(401) 349-3131

Fax(401) 921-5109

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 5, 2015

Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1992182414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · APRN11020548✔ Licensed in FL · 20428✔ Licensed in MA · 10241

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2331123 (MA), 9588600 (FL)

1 RICHMOND SQ STE 300E, Providence, RI 02906

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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

Corey Potter Pmhnp-bc, Lmhc 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 ID6002290756

PECOS Enrollment IDI20250926004333

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 Reassignments

Medicare enrollment records show Corey Potter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Child And Family Psychiatry, Inc.

4.8 mi

Psychiatry

1035 POST RD
Warwick, RI 02888

Reassigned Medicare billing, Rhode Island enrollment
158 clinicians in this Medicare group

NPI 1760863229 (401) 785-0040

Meridian Behavioral Healthcare, Inc.

995 mi

Community/Behavioral Health

92 W LOWDER ST
Macclenny, FL 32063

Reassigned Medicare billing, Florida enrollment
103 clinicians in this Medicare group

NPI 1265954358 (352) 374-5600

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

125 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services33 patients

Other Providers at the Same Location NPPES 13

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

DR. LAWRENCE MING-AN CHAN PSYD

Psychologist (Clinical)