Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donald Potter

Individual provider Professional Counselor · NPI 1396094181

Donald Potter is a Clinical Social Worker in Berea, Ohio. Qualified in 2011, 15 years ago. Practices with Addiction Outreach Clinic Ltd, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (800) 234-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence S1100448 (OH)

Record details

NPI number1396094181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 7, 2012
Last updated in NPPESSeptember 7, 2012
Mailing address202 E Bagley Rd, Berea, OH 44017-2058

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Addiction Outreach Clinic Ltd — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Berea