Organization Active NPI

Authentic Self Counseling, LLC

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1902648272
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AUTHENTIC SELF COUNSELING, LLC
Practice address
5002 Dodge St Ste 206
Omaha, NE 68132-2906
Phone
(531) 777-8917
Fax
(531) 999-4962
NPI assigned
Jun 8, 2024
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Alexandra Parra, LIMHP; CMSWNPI 1700516317
Title
Authorized Representative
Phone
(531) 777-8917

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5002 Dodge St Ste 206
Omaha, NE 68132-2906

Mailing address

5002 Dodge St Ste 206
Omaha, NE 68132-2906
Phone (531) 777-8917

Other practice location 1

11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone (402) 881-0261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827003878 NE Part B Supplier - Clinic/Group Practice 8224577820 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

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": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1902648272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 DODGE ST STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322906",
            "telephone_number": "531-777-8917",
            "fax_number": "531-999-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 DODGE ST STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322906",
            "telephone_number": "531-777-8917",
            "fax_number": "531-999-4962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11640 Arbor St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681445007",
            "country_code": "US",
            "telephone_number": "402-881-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTHENTIC SELF COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "531-777-8917",
        "authorized_official_credential": "LIMHP; CMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.