Individual provider · Type 1 NPI
Charles Potter, MA, LPCC-S
Mental Health Counselor · Fairfield, OH
NPI number
1265888259
Active
Practice location
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Fax (513) 939-0310
Other practice locations
- 80 Congress St, Suite 106, Springfield, MA 01104-3564 · (413) 739-1611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | E.1901087-SUPV (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1265888259
Charles Potter, MA, LPCC-S's National Provider Identifier is 1265888259, issued on May 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, OH. The record was last updated on Nov 18, 2025.