CARRIE ANN POTTS (LMHC, LPC) – Professional Counselor, NPI 1124489745
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,232 MENTAL HEALTH COUNSELOR in MO
Provider Addresses for CARRIE ANN POTTS (LMHC, LPC)
137 W CEDAR ST
KAHOKA, MO 634451699
Phone: (660) 216-9964
Type: Location
540 N MARTIN AVE
KAHOKA, MO 634451082
Phone: (660) 216-9964
Type: Mailing
900 E LAHARPE ST
KIRKSVILLE, MO 635014520
Phone: (660) 665-1962
Type: Location
629 Blondeau St Ste 202
Keokuk, IA 526325548
Phone: (660) 216-9964
Type: Location
PO BOX 844715
KANSAS CITY, MO 641844715
Phone: (417) 761-5214
Fax: (417) 761-5065
Type: Mailing
2015 S HALLIBURTON ST
KIRKSVILLE, MO 635014646
Phone: (660) 665-1962
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231218003001 | I | Mental Health Counselor | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63445)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| - | OK | |
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| Nurse Practitioner | MO |
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