Authentic Healing LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AUTHENTIC HEALING LLC

Practice address

2701 International LN Ste 205
Madison, WI 53704-3126

Phone

(608) 390-3535

Fax

(608) 390-3535

NPI assigned

Jun 3, 2020

Last updated

Jun 15, 2022By 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

Leah Mary Thompson, MANPI 1982982559

Title

Owner

Phone

(608) 513-2407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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.

• Heather Michelle Edge, MSW, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1700192135
  Medicare reassignment Care Compare group NPD
• Emily Krause, LCSW, MSW

  • Clinical Social Worker
  • Sun Prairie, WI
  • NPI 1891089702
  Medicare reassignment Care Compare group NPD
• Leah Thompson, MA, LPC-IT

  • Professional Counselor
  • Madison, WI
  • NPI 1982982559
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1912521188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 INTERNATIONAL LN STE 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043126",
            "telephone_number": "608-390-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 INTERNATIONAL LN STE 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043126",
            "telephone_number": "608-390-3535",
            "fax_number": "608-390-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-513-2407",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Peter Austin, DDS
• Jacob Brendan Bayley Austin, PSYD
• Kerstin Eide Austin, M.D.
• Walter John Austin, C. PED
• Authentic Being Therapeutic Services LLC
• Autism Society of South Central Wisconsin
• Autism Spectrum Therapies of Delaware, LLC (Wisconsin Early Autism Project)
• Brian Joseph Autry, PHARMD, MPH
• Avail Therapeutic Services LLC
• Dezarae Avalos

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.