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● Active Type 1 · Individual

Meredith Potter

Professional (Counselor)·Victor, ID· NPI 1003353830 · Enumerated 2017 · 9 years on NPI
Potter is 1 of 2 professional (counselor) providers in Victor and 1 of 1,399 in Idaho.
NPI age
9 years
Enumerated 2017-01-31
Primary specialty
Professional (Counselor)
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-15
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1399 active professional (counselor) providers in Idaho.

NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2017 → 2025

2017-01Enumerated in NPPES
2017 2025

Where they practice

Practice location
4654 S 360 E
Victor, ID 834555056
📞 7207757230
Mailing address
4654 S 360 E
Victor, ID 834555056
📞 7207757230

Specialties

  • Counselor Primary
    CMS NPPES uses NUCC taxonomy code 101YP2500X for provider records classified as Professional within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
    CO license #LPC.0018536 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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