Approaching Authenticity, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LW60083962 Issued in WA

Legal business name

APPROACHING AUTHENTICITY, PLLC

Practice address

12812 3Rd Ave SE Ste a
Everett, WA 98208-6455

Phone

(206) 375-7657

Fax

(206) 319-5325

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Regina A Blackwolf, MSW, LICSWNPI 1184777252

Title

President, Member, Therapist

Phone

(206) 375-7657

Specialties & licenses 1

Addresses

Other names 1

• Regina A BlackWolf, MSW Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina A Blackwolf, MSW, LICSW

  • Clinical Social Worker
  • Everett, WA
  • NPI 1184777252
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1811326804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 3RD AVE SE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "206-375-7657",
            "fax_number": "206-319-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 3RD AVE SE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "206-375-7657",
            "fax_number": "206-319-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPROACHING AUTHENTICITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "BLACKWOLF",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, MEMBER, THERAPIST",
        "authorized_official_telephone_number": "206-375-7657",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LW60083962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regina A BlackWolf, MSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regina A BlackWolf, MSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Apnea Solutions LLC
• Andrea Apodaca, RN
• Jodi Aponte, CDP
• Howard M Aposhyan, PHD
• Graham Robert Appelbe, D.O.
• Apria Healthcare LLC
• Aiko Araki, PT
• Veena Arani, MD
• Heaven Arbuckle
• Johanna Stephanie Arce, DO

• Community/Behavioral Health Agency in Everett, WA
• Providers in Everett, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.