Authentic Self Complete Wellness PLLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Harrisonburg, VA

NPI 1063255537 · NPPES record last updated Mar 7, 2025

Key facts

NPI: 1063255537
Entity type: Organization (NPI type 2)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 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
Organization subpart: No

Authorized official

Name: Carey Dean, FNP NPI 1528691052
Title: Owner
Phone: (540) 324-3435

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Carey Elizabeth Dean, FNP Psychiatric/Mental Health Nurse Practitioner · Harrisonburg, VA · NPI 1528691052

Medicare reassignment NPD Authorized official PSYCHIATRIC/MENTAL HEALTH · VA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240826001007	VA	Part B Supplier - Clinic/Group Practice	0749729580	Receives reassigned benefits from 1 practitioner Practice locations: Harrisonburg, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X			Yes

Addresses

Primary practice location

1012 Reservoir St Ste a
Harrisonburg, VA 22801-4457

Mailing address

8263 Sangersville Rd
Bridgewater, VA 22812-3209
Phone (540) 810-5984

Other providers in Harrisonburg, VA

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

All providers in Harrisonburg, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.