NPIMap

Organization Active NPI

Authentic Healing, LLC

  • Professional Counselor
  • Skillman, NJ
National Provider Identifier
1124379623
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00435400 Issued in NJ
Legal business name
AUTHENTIC HEALING, LLC
Practice address
88 Orchard Rd
Suite 2-3
Skillman, NJ 08558-2642
Phone
(609) 318-4325
NPI assigned
Sep 24, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Ms. Karishma Chawla, LPCNPI 1912274283
Title
Owner/Therapist
Phone
(609) 318-4325

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00435400 NJ Primary

Addresses

Primary practice location

88 Orchard Rd
Suite 2-3
Skillman, NJ 08558-2642

Mailing address

88 Orchard Rd
Suite 2-3
Skillman, NJ 08558-2642
Phone (609) 318-4325

National Provider Directory

National Provider Directory

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": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1124379623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD",
            "address_2": "SUITE 2-3",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "609-318-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ORCHARD RD",
            "address_2": "SUITE 2-3",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582642",
            "telephone_number": "609-318-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "KARISHMA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "609-318-4325",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00435400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.