Authentic Self Complete Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AUTHENTIC SELF COMPLETE WELLNESS PLLC

Practice address

1012 Reservoir St Ste a
Harrisonburg, VA 22801-4457

Phone

(540) 324-3435

NPI assigned

Jun 13, 2024

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carey Dean, FNPNPI 1528691052

Title

Owner

Phone

(540) 324-3435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carey Elizabeth Dean, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisonburg, VA
  • NPI 1528691052
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1063255537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8263 SANGERSVILLE RD",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228123209",
            "telephone_number": "540-810-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 RESERVOIR ST STE A",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228014457",
            "telephone_number": "540-324-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC SELF COMPLETE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-324-3435",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atwell Family Chiropractic and Wellness P.L.C.
• Daniel E Atwell, DC
• Kelly Atwood, PSYD, LPC, LCP
• Audiology Associates of Harrisonburg, LLC
• Aurora Counseling & Well-Being
• Avante at Harrisonburg, Inc.
• Mackenzie R Ayers
• Richard B Ayers, MD
• Back in Action Physical Therapy, LLC
• Alexander B Baer, MD

• Psychiatric/Mental Health Nurse Practitioner in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.