Authentic Psychiatric Wellbeing LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AUTHENTIC PSYCHIATRIC WELLBEING LLC

Practice address

6305 Ferry St # 2
Pacific City, OR 97135-8000

Phone

(503) 932-7808

Fax

(503) 584-4253

NPI assigned

Aug 26, 2026

Last updated

Aug 26, 2026By 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

Jason Elliott, PMHNP-CNPI 1376468421

Title

Sole Member

Phone

(503) 932-7808

Specialties & licenses 1

Addresses

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.

• Jason Elliott, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Pacific City, OR
  • NPI 1376468421
  NPD (past) Authorized official

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1063329779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971350839",
            "telephone_number": "503-932-7808",
            "fax_number": "503-584-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 FERRY ST # 2",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971358000",
            "telephone_number": "503-932-7808",
            "fax_number": "503-584-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC PSYCHIATRIC WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-932-7808",
        "authorized_official_credential": "PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert P. Thompson (Bayshore Family Medicine)
• Bayshore Sleep Solutions, LLC
• Benchmark Physical Therapy of Oregon LLC
• Blue Wellness Studio, LLC
• Jason Elliott, PMHNP-C
• Karin Kallevig

• Psychiatric/Mental Health Nurse Practitioner in Pacific City, OR
• Providers in Pacific City, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.