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

Thaxal Creed Potter

Individual provider Peer Specialist · NPI 1871474106

Thaxal Creed Potter is a Peer Specialist in McAlester, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025
Specialties on file
2

Practice location Address checks out

604 S 2nd St
McAlester, OK 74501-5814
Phone: (918) 302-0052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OK)
Peer Specialist Taxonomy 175T00000X (OK)

Record details

NPI number1871474106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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