Organization Active NPI

Authentic Connections Counseling LLC

  • Professional Counselor
  • Idaho Falls, ID
National Provider Identifier
1114764354
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AUTHENTIC CONNECTIONS COUNSELING LLC
Practice address
211 S Woodruff Ave Ste B5
Idaho Falls, ID 83401-4866
Phone
(208) 219-7010
NPI assigned
Jul 15, 2024
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Shayla HickmanNPI 1225515299
Title
Owner
Phone
(208) 219-7010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

211 S Woodruff Ave Ste B5
Idaho Falls, ID 83401-4866

Mailing address

211 S Woodruff Ave Ste B5
Idaho Falls, ID 83401-4866

National Provider Directory

National Provider Directory
Tax ID family
Authentic Connections Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 S Woodruff Ave
Ste B5
Idaho Falls, ID 83401
Phone (208) 219-7010

560 W Sunnyside Rd
Ste A
Idaho Falls, ID 83402

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1114764354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S WOODRUFF AVE STE B5",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S WOODRUFF AVE STE B5",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014866",
            "telephone_number": "208-219-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC CONNECTIONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-219-7010"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.