Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas M Potoski, LCPC

Individual provider Professional Counselor · NPI 1962795526

Mr. Thomas M Potoski, LCPC is a Mental Health Counselor in Bourbonnais, Illinois. Qualified in 1991, 35 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2011
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

4 Duncan Dr Ste C
Bourbonnais, IL 60914-1083
Phone: (815) 662-7757
Fax: (815) 928-9335
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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 180-001413 (IL)

Record details

NPI number1962795526
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMay 16, 2011
Last updated in NPPESOctober 5, 2012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bourbonnais