MEDICARE: MEGAN POTTER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH19085	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114501533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN POTTER LMHC

Provider Business Mailing Address
First Line	:	217 SW 18TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1525
Country	:	US
Telephone Number	:	315-767-1432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 SHERIDAN ST STE 205
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2113
Country	:	US
Telephone Number	:	954-589-2001
Fax Number	:	754-703-5354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	02/11/2026

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Directions to “ MEGAN POTTER LMHC” Practice Location

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