Authentic Life Care, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AUTHENTIC LIFE CARE, LLC

Practice address

8790 F St
Omaha, NE 68127-1524

Phone

(402) 213-0244

Fax

(402) 702-1540

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By 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

Randall Hager, LMHPNPI 1922658822

Title

Owner

Phone

(402) 213-0244

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.

• Randall Hager, LMHP, NCC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1922658822
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1710758446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271524",
            "telephone_number": "402-213-0244",
            "fax_number": "402-702-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271524",
            "telephone_number": "402-213-0244",
            "fax_number": "402-702-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-213-0244",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Joseph Austin, DPT
• Tawana Lynn Austin
• Tyler Russell Austin, MD
• Willie R Austin
• Lynne Marie Auten
• Authentic Self Counseling, LLC
• Jerry L Authier, PHD
• Karen Authier, CMSW, LMHP
• Autism Center of Nebraska, Inc.
• Auto Accident Associates

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.