NPIMap

Organization Active NPI

Authentic Life LLC

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1437815255
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AUTHENTIC LIFE LLC
Practice address
4228 S Hocker Dr BLDG 12
Independence, MO 64055-4754
Phone
(816) 381-7690
Fax
(816) 381-4356
NPI assigned
Nov 16, 2021
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Laurie L Carpenter, LCSW, LSCSWNPI 1780227058
Title
Owner/Therapist
Phone
(816) 381-7690

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4228 S Hocker Dr BLDG 12
Independence, MO 64055-4754

Mailing address

224 W Maple Ave
Independence, MO 64050-2816
Phone (816) 381-7690

Other practice location 1

224 W Maple Ave
Independence, MO 64050-2816
Phone (816) 381-7690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813003386 MO Part B Supplier - Clinic/Group Practice 6002354743 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO; Kansas City, MO

National Provider Directory

National Provider Directory

Locations

224 W Maple Ave
Independence, MO 64050
Phone (816) 381-7690

4228 S Hocker Dr
Bldg 12
Independence, MO 64055

5155 Raytown Rd
Ste 201
Kansas City, MO 64133
Phone (816) 648-6830

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1437815255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W MAPLE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502816",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 S HOCKER DR BLDG 12",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554754",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640502816",
            "country_code": "US",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTHENTIC LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "816-381-7690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.