Organization Active NPI

Authentically U Therapy & Discovery, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1215810304
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUTHENTICALLY U THERAPY & DISCOVERY, PLLC
Practice address
531 Tip Top Ave
Fayetteville, NC 28306-9153
Phone
(910) 502-0883
NPI assigned
Jul 28, 2025
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Nia Odlum-Thomas, MSW, LCSW-A,CTPNPI 1962041673
Title
Owner
Phone
(910) 578-4444

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

531 Tip Top Ave
Fayetteville, NC 28306-9153

Mailing address

531 Tip Top Ave
Fayetteville, NC 28306-9153
Phone (910) 502-0883

National Provider Directory

National Provider Directory

Locations

4454 Fayetteville Rd
Ste 2001
Raleigh, NC 27603

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": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1215810304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 TIP TOP AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069153",
            "telephone_number": "910-502-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 TIP TOP AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069153",
            "telephone_number": "910-502-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTICALLY U THERAPY & DISCOVERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "ODLUM-THOMAS",
        "authorized_official_first_name": "NIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-578-4444",
        "authorized_official_credential": "MSW, LCSW-A,CTP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.