Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Potter, MA, LPCC-S

Individual provider Mental Health Counselor · NPI 1265888259

Charles Potter, MA, LPCC-S is a Mental Health Counselor in Fairfield, Ohio. Qualified in 2013, 13 years ago. Practices with Mindfully LLC, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Congress St, Springfield, MA 01104-3564 — (413) 739-1611

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.1901087-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1265888259
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC-S
Sole proprietorYes
NPI enumeratedMay 9, 2016
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfield