Individual provider · Type 1 NPI

Shataka S. Potter, MS

Counselor · Pensacola, FL

NPI number 1588166391 Active

Practice location

1221 W Lakeview Ave
Pensacola, FL 32501-1836

Fax (850) 595-1400

Mailing address

2222 Ponce De Leon Blvd Fl 3
Coral Gables, FL 33134-5025

Other practice locations

  • 2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL 33134-5039 · (866) 305-7365

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1588166391

Shataka S. Potter, MS's National Provider Identifier is 1588166391, issued on Mar 7, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pensacola, FL. The record was last updated on Oct 14, 2025.